CHILDRENS HEALTH CARE NPI 1912004631

NPI Information

NPI: 1912004631
Provider Name: CHILDRENS HEALTH CARE

Doing Business As: CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
5950 CLEARWATER DRIVE
CHILDRENS HOSPITALS AND CLINICS COMMUNITY REHAB
MINNETONKA, MN
ZIP 55343
Phone: (952) 930-8630
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CHILDRENS HEALTH CARE is a rehabilitation clinic center in Minnetonka, MN. CHILDRENS HEALTH CARE NPI is 1912004631. The provider is registered as an organization entity type.
The provider Is Doing Business As Childrens Hospitals And Clinics Of Minnesota.

The provider's business location address is:

5950 CLEARWATER DRIVE
CHILDRENS HOSPITALS AND CLINICS COMMUNITY REHAB
MINNETONKA, MN
ZIP 55343
Phone: (952) 930-8630

The provider's authorized official is Jerry L Massmann .
The authorized official title is Chief Financial Officer and has the following contact phone number (612) 813-6113.

The CLIA number assigned to this NPI record is 24D2273024 - other - partial hosp psychiatric with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2006 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	261QR0400X	Clinic/Center	Rehabilitation			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	435247511	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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