NPIMap

Organization Active NPI

Hennepin County

Doing business as Public Health Clinic

  • Public Health or Welfare Agency
  • Minneapolis, MN
National Provider Identifier
1295812386
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
00-802-6655 Issued in MN
Legal business name
HENNEPIN COUNTY
Doing business as
Public Health Clinic
Practice address
525 Portland Ave
Level #4 Mc952
Minneapolis, MN 55415-1533
Phone
(612) 543-5555
Fax
(612) 596-7900
NPI assigned
Nov 1, 2006
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HENNEPIN COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Bao Vang
Title
Finance Manager
Phone
(612) 596-7973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 00-802-6655 MN Primary

Addresses

Primary practice location

525 Portland Ave
Level #4 Mc952
Minneapolis, MN 55415-1533

Mailing address

525 Portland Ave
Level #4 Mc952
Minneapolis, MN 55415-1533
Phone (612) 543-5555

Other names 1

  • Public Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 14

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

  • Hennepin County

    dba NorthPoint Health & Wellness Center- Heritage Park

    • Federally Qualified Health Center (FQHC)
    • Minneapolis, MN
    • NPI 1083083752

    O20040218001012

    Same enrollment
  • Hennepin County

    dba Salvation Army Harbor Lights

    • Federally Qualified Health Center (FQHC)
    • Minneapolis, MN
    • NPI 1083185193

    O20040218001012

    Same enrollment
  • Hennepin County

    dba NorthPoint Health & Wellness Center - Workforce Center Medical

    • Community Health Clinic/Center
    • Minneapolis, MN
    • NPI 1154774925

    O20040218001012

    Same enrollment
  • Hennepin County

    dba NorthPoint Health & Wellness Center- Main Clinic

    • Federally Qualified Health Center (FQHC)
    • Minneapolis, MN
    • NPI 1215951751

    O20040218001012

    Same enrollment
  • Hennepin County

    dba Branch III - Adult Opportunity Center

    • Federally Qualified Health Center (FQHC)
    • Minneapolis, MN
    • NPI 1528539624

    O20040218001012

    Same enrollment
  • Hennepin County

    dba Catholic Charities, Higher Ground

    • Federally Qualified Health Center (FQHC)
    • Minneapolis, MN
    • NPI 1619448685

    O20040218001012

    Same enrollment
  • Hennepin County

    dba People Serving People

    • Federally Qualified Health Center (FQHC)
    • Minneapolis, MN
    • NPI 1679044788

    O20040218001012

    Same enrollment
  • Hennepin County

    dba St. Stephen's Shelter

    • Federally Qualified Health Center (FQHC)
    • Minneapolis, MN
    • NPI 1700357779

    O20040218001012

    Same enrollment
  • Hennepin County

    dba Hennepin County Mental Health Center

    • Psychiatry Physician
    • Minneapolis, MN
    • NPI 1780790345

    O20040218001012

    Same enrollment
  • Hennepin County

    dba Harriet Tubman Center

    • Federally Qualified Health Center (FQHC)
    • Minneapolis, MN
    • NPI 1841761954

    O20040218001012

    Same enrollment
  • Hennepin County

    dba Youth Link

    • Federally Qualified Health Center (FQHC)
    • Minneapolis, MN
    • NPI 1891266862

    O20040218001012

    Same enrollment
  • Hennepin County

    dba Endeavors

    • Federally Qualified Health Center (FQHC)
    • Minneapolis, MN
    • NPI 1962147413

    O20040218001012

    Same enrollment
View all 14

National Provider Directory

National Provider Directory
Part of
Hennepin County Government

Locations

525 Portland Ave
#4
Minneapolis, MN 55415
Phone (612) 543-5555

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1295812386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE",
            "address_2": "LEVEL #4 MC952",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151533",
            "telephone_number": "612-543-5555",
            "fax_number": "612-596-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE",
            "address_2": "LEVEL #4 MC952",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151533",
            "telephone_number": "612-543-5555",
            "fax_number": "612-596-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNEPIN COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENNEPIN COUNTY",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "BAO",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "612-596-7973"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MN",
            "license": "00-802-6655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.