Organization · NPI-2

Hope Alliance Health

Health Maintenance Organization · Minneapolis, MN

NPI number1417291402
StatusActive
Last updated in NPPESAug 8, 2016

Details

NPI
1417291402
Entity type
Organization (NPI-2)
Legal business name
Hope Alliance Health
Organization subpart
No
Enumeration date
Nov 15, 2012
Last updated
Aug 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization––Yes

Practice location

1516 W Lake St Ste 106
Minneapolis, MN 55408-6600

Phone 206-883-0990

Mailing address

5901 Brooklyn Blvd Ste 202
Brooklyn Center, MN 55429-2533

Authorized official

Fardowsa M
Director Of Operations
2068830990

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