Provider Demographics
NPI:1174125884
Name:HAYDEN HEALTH RESOURCES
Entity type:Organization
Organization Name:HAYDEN HEALTH RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAWAL
Authorized Official - Middle Name:FARAH
Authorized Official - Last Name:OSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-458-8325
Mailing Address - Street 1:1485 66TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-4766
Mailing Address - Country:US
Mailing Address - Phone:612-458-8325
Mailing Address - Fax:
Practice Address - Street 1:441 OLD HIGHWAY 8 NW STE 204
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-3235
Practice Address - Country:US
Practice Address - Phone:612-458-8325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)