| NPI | 1043187289 |
|---|---|
| Doing Business As | MINNESOTA COMMUNITY CARE MBC - ST. PAUL |
| Entity Type | Organization |
| Authorized Contact | ERIC WILLIAM HANSON Rev Data & Credentialing Manager 651-389-2560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |