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Contact Information

CHILDRENS HEALTH CARE
2525 CHICAGO AVE S
MINNEAPOLIS, MN55404
 Phone: 612-813-6280
 Fax: 612-813-6951
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHILDRENS HEALTH CARE

NPI # 1053410928
LBN Legal business name CHILDRENS HEALTH CARE
Authorized official MARC GORELICK - (PRESIDENT & CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 01/17/2018 - More than a year ago
Identifiers
MN Medicaid 435247500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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