CHILDREN'S HEALTH CARE – NPI #1689852071
Clinic/Center

CHILDREN'S HEALTH CARE is an AHC clinic located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1689852071 to CHILDREN'S HEALTH CARE on February 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary 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 CHILDREN'S HEALTH CARE below.

NPI Profile for
CHILDREN'S HEALTH CARE

NPI Number
1689852071
Enumeration Date

(more than 18 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
CHILDREN'S HEALTH CARE
Primary location
2525 CHICAGO AVE. S.
MINNEAPOLIS, MN 55404-4518
Phone: (612) 813-6107 Fax:
1 Other location(s):
345 Smith Ave N
Saint Paul, MN 55102-2346
Phone: (651) 220-6700
Fax: (651) 220-6807
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 CHILDREN'S 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
otherMEDICAREMNC02022
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
261QP2300X
- Clinic/Center / Primary Care (Primary)		 MN 338898

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.