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Contact Information

CHILDRENS HEALTH CARE
2525 CHICAGO AVE S
MINNEAPOLIS, MN55404
 Phone: 612-813-6111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for CHILDRENS HEALTH CARE

NPI # 1932208808
LBN Legal business name CHILDRENS HEALTH CARE
Authorized official BRENDA LU MCCORMICK - (SR. VP AND CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 10/31/2022 - About 4 years ago
Identifiers
MN License # 331018
MN Medicaid 435247500
MN Other C02052 MEDICARE
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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