Provider Demographics
NPI:1619041845
Name:HENNEPIN COUNTY
Entity Type:Organization
Organization Name:HENNEPIN COUNTY
Other - Org Name:HEALTH ASSESSMENT AND PROMOTION CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:HAATS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-348-9840
Mailing Address - Street 1:525 PORTLAND AVE
Mailing Address - Street 2:MC 952
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1533
Mailing Address - Country:US
Mailing Address - Phone:612-348-3033
Mailing Address - Fax:612-348-7818
Practice Address - Street 1:525 PORTLAND AVE
Practice Address - Street 2:MC 952
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1533
Practice Address - Country:US
Practice Address - Phone:612-348-3033
Practice Address - Fax:612-348-7818
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HENNEPIN CONTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN111706-C959OtherUCARE
MN4800068OtherMEDICA
MN101000000018OtherMHP
MN27T77HEOtherBLUE CROSS BLUE SHIELD
MN350825100OtherMEDICAL ASSISTANCE
MN42021OtherHEALTH PARTNERS
MN42021OtherHEALTH PARTNERS