CHILDRENS HEALTH CARE SERVICES INC NPI 1528167491

NPI Information

NPI: 1528167491
Provider Name: CHILDRENS HEALTH CARE SERVICES INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 24D1046860

Address:
6050 CLEARWATER DRIVE
CHILDRENS MTKA INDEPENDENT DIAGNOSTIC TESTING FACILITY
MINNETONKA, MN
ZIP 55343
Phone: (952) 930-8600
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CHILDRENS HEALTH CARE SERVICES INC is a radiology clinic center in Minnetonka, MN. CHILDRENS HEALTH CARE SERVICES INC NPI is 1528167491. The provider is registered as an organization entity type.

The provider's business location address is:

6050 CLEARWATER DRIVE
CHILDRENS MTKA INDEPENDENT DIAGNOSTIC TESTING FACILITY
MINNETONKA, MN
ZIP 55343
Phone: (952) 930-8600
Fax: (952) 930-8650

The provider's authorized official is Brenda Lu Alexander Mccormick .
The authorized official title is Sr. Vp And Chief Financial Officer and has the following contact phone number (612) 813-6129.

The CLIA number assigned to this NPI record is 24D1046860 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 10/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	331022	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	847979800	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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