NPI:
1255462487
Provider Name:
ANNEX TEEN CLINIC
Former Legal Business Name: NORTH SUBURBAN YOUTH HEALTH CLINIC, INC
Classification:
Clinic/Center - 261QF0050X
Entity Type:
Organization
Specialization: Family Planning, Non-Surgical
CLIA Number: 24D0402317
Address:
5810 42ND AVENUE NORTH
ROBBINSDALE, MN
ZIP 55422
Phone:
(763) 533-1316
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ANNEX TEEN CLINIC is a family planning and non-surgical clinic center in Robbinsdale, MN. The provider is an entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. ANNEX TEEN CLINIC NPI is 1255462487. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is North Suburban Youth Health Clinic, Inc.
The provider's business location address is:
5810 42ND AVENUE NORTH
ROBBINSDALE, MN
ZIP 55422
Phone: (763) 533-1316
Fax: (763) 531-0315
The provider's authorized official is Diane Thompson Murray .
The authorized official title is Clinical Director and has the following contact phone number (763) 235-1980.
The CLIA number assigned to this NPI record is 24D0402317 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 3/8/2007 and was last updated on 2/13/2012.