CHILDRENS HEALTH CARE – NPI #1134228000
Clinic/Center

CHILDRENS HEALTH CARE is an AHC clinic located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1134228000 to CHILDRENS HEALTH CARE on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was previously updated about 4 years ago on Oct 31, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDRENS HEALTH CARE below.

NPI Profile for
CHILDRENS HEALTH CARE

NPI Number
1134228000
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDRENS HEALTH CARE
Primary location
2525 CHICAGO AVE S
MINNEAPOLIS, MN 55404
Phone: (612) 813-6843 Fax: (612) 813-7362
1 Other location(s):
345 Smith Ave N
Saint Paul, MN 55102-2346
Phone: (651) 220-6000
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE
EDINA, MN 55436-1611
Phone: (952) 992-5691 Fax: (952) 992-6917
Organization Subpart
No
Authorized Official
BRENDA LU MCCORMICK
SR. VP AND CHIEF FINANCIAL OFFICER
Phone: (612) 813-6129
Updated
Certification Date
Oct 31, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHILDRENS HEALTH CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMN435247500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)		 MN 331018

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.