Native American Community Clinic

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

NATIVE AMERICAN COMMUNITY CLINIC

Practice address

1213 E Franklin Ave
Suite 201a
Minneapolis, MN 55404-2923

Phone

(612) 872-8086

Fax

(612) 872-8547

NPI assigned

Jun 17, 2009

Last updated

Jun 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lydia Beth Caros, DONPI 1770519571

Title

Executive Director

Phone

(612) 872-8086

Specialties & licenses 1

Addresses

Tax ID family

Native American Community2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Native American Community Clinic

  • Public Health or Welfare Agency
  • Minneapolis, MN
  • NPI 1932258845
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lydia Beth Caros, D.O.

  • Pediatrics Physician
  • Minneapolis, MN
  • NPI 1770519571
  Authorized official Same address or phone

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1184851115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 E FRANKLIN AVE",
            "address_2": "SUITE 201A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042923",
            "telephone_number": "612-872-8086",
            "fax_number": "612-872-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 E FRANKLIN AVE",
            "address_2": "SUITE 201A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042923",
            "telephone_number": "612-872-8086",
            "fax_number": "612-872-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE AMERICAN COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "CAROS",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-872-8086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathif Care LLC (Home Health Care Agency)
• Nation Home Health Care Inc
• Natalie Nation, MPH, RD, LD
• Nationwide Care Inc
• Nationwide Home Health Care Inc.
• Native American Community Clinic
• Native American Community Clinic
• Native Language LLC
• Mary Louise Natterstad, M.A.L.P.
• Natural Care Massage and Therapy

• Federally Qualified Health Center (FQHC) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Federally Qualified Health Center (FQHC) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.