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SAINT CLOUD PEDIATRICS LLC NPI 1942816533


NPI Information

NPI: 1942816533
Provider Name: SAINT CLOUD PEDIATRICS LLC

Doing Business As: ST. CLOUD PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 24D2199910

Address:
3290 42ND AVE S STE 100
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 291-5595
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SAINT CLOUD PEDIATRICS LLC is a pediatrics in Saint Cloud, MN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SAINT CLOUD PEDIATRICS LLC NPI is 1942816533. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Cloud Pediatrics.

The provider's business location address is:

3290 42ND AVE S STE 100
SAINT CLOUD, MN
ZIP 56301-251
Phone: (320) 291-5595
Fax: (320) 227-5025

The provider's authorized official is Weining Hu .
The authorized official title is President and has the following contact phone number (320) 291-5595.

The CLIA number assigned to this NPI record is 24D2199910 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2020 and was last updated on 6/3/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11942816533OTHERCLININC NPI
21679564728OTHERNPI
3H16557OTHERMINNESOTAUPIN

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: 4/28/2024

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