National Provider Identifier Database

HENNEPIN HEALTHCARE SYSTEM INC
Hospice Care, Community Based


Contact Information

HENNEPIN HEALTHCARE SYSTEM, INC
2000 SUMMER ST NE
SUITE 100
MINNEAPOLIS, MN55413-2648
Phone: 763-531-2424
Fax: 763-531-2422
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for HENNEPIN HEALTHCARE SYSTEM, INC

NPI Number 1639543036
Legal business name
LBN
HENNEPIN HEALTHCARE SYSTEM, INC
Authorized official DERRICK HOLLINGS - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 11/23/2015
Last updated 12/07/2022 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 369767
  • MN Medicaid: 194092900

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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