NPIMap

Organization Active NPI

Hennepin County

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
National Provider Identifier
1083083752
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HENNEPIN COUNTY
Practice address
1015 4TH Ave N
Suite 201
Minneapolis, MN 55405-1189
Phone
(612) 543-2545
Fax
(612) 302-4870
NPI assigned
Sep 23, 2015
Organization subpart
Yes
Parent organization
HENNEPIN COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Baye D Diouf
Title
Chief Financial Officer
Phone
(612) 543-2545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1015 4TH Ave N
Suite 201
Minneapolis, MN 55405-1189

Mailing address

2220 Plymouth Ave N
Minneapolis, MN 55411-3600
Phone (612) 543-2500

Other names 1

  • NorthPoint Health & Wellness Center- Heritage Park Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040218001012 MN Part B Supplier - Clinic/Group Practice 7911892849 Receives reassigned benefits from 194 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Minneapolis, MN
O20160321001263 MN Part A Provider - Federally Qualified Health Center (FQHC) 7911892849 Practice locations: Minneapolis, MN

Federally qualified health center certification: CCN 241872

Legal name
HENNEPIN COUNTY
Doing business as
NORTHPOINT HERITAGE PARK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 21, 2016
Last certification
Mar 21, 2016
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
1015 4TH Ave N
Ste 201
Minneapolis, MN 55405-1178

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2104536Northpoint Satellite Lab - Heritage Park1015 4TH Ave North Suite 201, Minneapolis, MN 55405Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hennepin County Medical Ctr26 organizations share this tax ID, including this one
Part of
Hennepin County Medical Ctr

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Baye D Diouf Individual Corporate OfficerChief Financial Officer Nov 30, 2023
Rochelle Clausen Individual W-2 Managing Employee Jun 1, 2011
Brian J Bergs Individual Corporate OfficerChief Financial Officer May 10, 2017
Stella Whitney-West Individual Corporate DirectorCeo May 29, 2007 100%
W-2 Managing EmployeeCeo May 29, 2007

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hennepin County Medical CenterMinneapolis, MN, CCN 240004 Hospital Operational/Managerial Control (100%) Nov 29, 2006
Hennepin County Medical CenterMinneapolis, MN, CCN 24T004 Hospital Operational/Managerial Control (100%) Nov 29, 2006
Hennepin County Medical CenterMinneapolis, MN, CCN 24S004 Hospital Operational/Managerial Control (100%) Nov 29, 2006
MvnaMinneapolis, MN, CCN 247008 Home health agency Operational/Managerial Control (100%) Nov 29, 2006
Hennepin CountyMinneapolis, MN, CCN 241801 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1990
Northpoint Health & Wellness CenterMinneapolis, MN, CCN 241861 Federally qualified health center Operational/Managerial Control Nov 2, 2010
Northpoint Pyc ClinicMinneapolis, MN, CCN 241862 Federally qualified health center Operational/Managerial Control Nov 2, 2010
Northpoint Olson Middle SchoolMinneapolis, MN, CCN 241869 Federally qualified health center Operational/Managerial Control Sep 1, 2014
Northpoint Workforce Center ClinicMinneapolis, MN, CCN 241873 Federally qualified health center Other (100%) Jan 1, 1968
Northpoint Franklin Middle SchoolMinneapolis, MN, CCN 241877 Federally qualified health center Other (100%) Jan 1, 1968
People Serving PeopleMinneapolis, MN, CCN 241885 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 19, 1987
Sep 19, 1987
YouthlinkMinneapolis, MN, CCN 241879 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 19, 1987
Sep 19, 1977
Catholic Charities Higher GroundMinneapolis, MN, CCN 241880 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 19, 1987
Salvation Army Harbor Light CenterMinneapolis, MN, CCN 241881 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 19, 1987
EndeavorsMinneapolis, MN, CCN 241899 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 19, 1987
Sep 19, 1987

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1083083752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 PLYMOUTH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113600",
            "telephone_number": "612-543-2500",
            "fax_number": "312-302-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 4TH AVE N",
            "address_2": "SUITE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051189",
            "telephone_number": "612-543-2545",
            "fax_number": "612-302-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNEPIN COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENNEPIN COUNTY",
        "enumeration_date": "2015-09-23",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "DIOUF",
        "authorized_official_first_name": "BAYE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "612-543-2545"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthPoint Health & Wellness Center- Heritage Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.