| Children's Health Care | |
|
2525 Chicago Ave. S. Minneapolis MN 55404-4518 | |
| (612) 813-6107 | |
| Not Available |
| Full Name | Children's Health Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2525 Chicago Ave. S., Minneapolis, Minnesota |
| Authorized Official Name and Position | Brenda Lu Alexander Mccormick (SR. VP AND CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6128136129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Health Care 5901 Lincoln Drive, Cbc-2-rev/pe Edina MN 55436-1611 Ph: (952) 992-5691 | Children's Health Care 2525 Chicago Ave. S. Minneapolis MN 55404-4518 Ph: (612) 813-6107 |
| NPI Number | 1689852071 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689852071 | NPI | - | NPPES |
| C02022 | Other | MN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 338898 (Minnesota) | Primary |
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