Provider Demographics
NPI:1407373202
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 1:1256 PENN AVE N STE 5100
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2617
Mailing Address - Country:US
Mailing Address - Phone:612-543-2545
Mailing Address - Fax:612-302-4870
Practice Address - Street 1:800 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2614
Practice Address - Country:US
Practice Address - Phone:612-543-2900
Practice Address - Fax:612-288-2909
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HENNEPIN COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-23
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental