American Indian Community Development Corp

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

AMERICAN INDIAN COMMUNITY DEVELOPMENT CORP

Practice address

1600 East 19TH Street
Minneapolis, MN 55404

Phone

(612) 874-1048

Fax

(612) 813-1612

NPI assigned

Mar 29, 2007

Last updated

Apr 8, 2008By 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

Michael P Haag

Title

Director

Phone

(612) 813-1610

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1194845883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 E FRANKLIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 EAST 19TH STREET",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-874-1048",
            "fax_number": "612-813-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INDIAN COMMUNITY DEVELOPMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-813-1610"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION PROVIDER #",
            "identifier": "200020115141",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Anesthesiology of Minnesota, P.a.
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• American Family Healthcare,Inc (Home Helpers Home Care of St. Louis Park, MN)
• American Family Transportation Inc
• American Indian Community Development Corporation
• American Indian Community Development Corporation
• American Travel Service Inc
• American United Care LLC
• Ameritechies Inc

• Community Health Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.