Provider Demographics
NPI:1215951751
Name:HENNEPIN COUNTY
Entity type:Organization
Organization Name:HENNEPIN COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BAYE
Authorized Official - Middle Name:D
Authorized Official - Last Name:DIOUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-543-2545
Mailing Address - Street 1:2220 PLYMOUTH AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3047
Mailing Address - Country:US
Mailing Address - Phone:612-543-2500
Mailing Address - Fax:612-302-4870
Practice Address - Street 1:2220 PLYMOUTH AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-3047
Practice Address - Country:US
Practice Address - Phone:612-543-2500
Practice Address - Fax:612-302-4870
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HENNEPIN COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-27
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN106809OtherUCARE
MN1215951751Medicaid
MN7700677OtherMETROPOLITAN HEALTH PLAN
MN9594810OtherPREFERRED ONE
MD13838PIOtherBLUE CROSS BLUE SHIELD
MN87621OtherHEALTH PARTNERS
MN7700677OtherMETROPOLITAN HEALTH PLAN
241801Medicare ID - Type Unspecified