NPIMap

Organization Active NPI

Hennepin County

  • Community Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1154774925
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
HENNEPIN COUNTY
Practice address
800 W Broadway Ave
Minneapolis, MN 55411-2614
Phone
(612) 543-2900
Fax
(612) 288-2909
NPI assigned
Jul 18, 2016
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

800 W Broadway Ave
Minneapolis, MN 55411-2614

Mailing address

1256 Penn Ave N Ste 5100
Minneapolis, MN 55411-2617
Phone (612) 543-2500

Other names 1

  • NorthPoint Health & Wellness Center - Workforce Center Medical 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
O20160824001402 MN Part A Provider - Federally Qualified Health Center (FQHC) 7911892849 Practice locations: Minneapolis, MN

Federally qualified health center certification: CCN 241873

Legal name
HENNEPIN COUNTY
Doing business as
NORTHPOINT WORKFORCE CENTER CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 24, 2016
Last certification
Aug 24, 2016
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
800 W Broadway Ave
Minneapolis, MN 55411-2614

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

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
Rochelle Clausen Individual W-2 Managing Employee Jun 1, 2011
Hennepin County Organization, Minneapolis, MN Other Jan 1, 1968 100%
Brian J Bergs Individual Corporate OfficerChief Financial Officer May 10, 2017
Stella Whitney-West Individual Corporate DirectorCeo May 27, 2009 100%
W-2 Managing EmployeeCeo May 27, 2009 100%

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

All facility ownership & control disclosures 14

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 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 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 157

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

View all 157

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1154774925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 PENN AVE N STE 5100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112617",
            "telephone_number": "612-543-2500",
            "fax_number": "612-543-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112614",
            "telephone_number": "612-543-2900",
            "fax_number": "612-288-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNEPIN COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENNEPIN COUNTY",
        "enumeration_date": "2016-07-18",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthPoint Health & Wellness Center - Workforce Center Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.