CHILDRENS HEALTH CARE SERVICES INC; NPI #1528167491

Contact Information

CHILDRENS HEALTH CARE SERVICES INC

6050 CLEARWATER DRIVE
CHILDRENS MTKA INDEPENDENT DIAGNOSTIC TESTING FACILITY
MINNETONKA, MN 55343

Phone: 952-930-8600
Fax: 952-930-8650
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for CHILDRENS HEALTH CARE SERVICES INC

NPI Number 1528167491

LBN Legal business name CHILDRENS HEALTH CARE SERVICES INC

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 #	331022
MN	Medicaid	847979800

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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