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CH051770 INDIAN HEALTH BOARD OF MINNEAPOLIS INC (Active)
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Main Details
Name
INDIAN HEALTH BOARD OF MINNEAPOLIS INC
Subdivision Name
INDIAN HEALTH BOARD OF MINNEAPOLIS, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004388
340B ID
CH051770
Grant Number
H80CS00441
Additional Details
Current Program Status
Active
Registration Date
7/1/2001
Participating Start Date
7/1/2001
Participating Approval Date
12/31/2003
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Indian Health Board
Patrick Rock, CEO/Medical Director
(612) 721-9856
Primary Contact
Indian Health Board
Athena Cannon, Clinical Pharmacist
(612) 721-9800 Ext: 1215
Addresses
Street Address
1315 E 24th St
Minneapolis, MN 55404-3975
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW CONTACT
12/31/2003
April 2025
April 2025
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