CHILDREN'S CLINIC NETWORK (NPI# 1275894982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275894982 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S CLINIC NETWORK |
| Other Organization Name | CHILDREN'S ENT AND FACIAL PLASTIC SURGERY |
| Practice Address |
2525 Chicago Avenue South Minneapolis MN 55404-4518 |
| Mailing Address |
5901 Lincoln Drive, Cbc-2-rev/pe Edina MN 55436-1611 |
| Practice Telephone | 6128136000 |
| Mailing Telephone | 9529925398 |
| Mailing Fax Number | 9529926917 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | MARC H GORELICK (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6128138031 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Children's ENT and Facial Plastic Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346513447 | Children's Clinic Network | Clinic/Center | 963 South Robert Street, West St Paul, MN 55118-1446 | 2012-02-21 |
| 1578830733 | Children's Clinic Network | Clinic/Center | 6517 Drew Avenue South, Edina, MN 55435-2103 | 2011-11-16 |
| 1013278720 | Children's Clinic Network | Clinic/Center | 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 | 2012-05-30 |
| 1447529235 | Children's Clinic Network | Clinic/Center | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2011-12-22 |
| Street Address |
2525 CHICAGO AVENUE SOUTH |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720052343 | Carolyn Marie Veglia Young | Registered Nurse | 2525 Chicago Avenue South, Children's Hospitals and Clinic of Minnesota, Minneapolis, MN 55404 | 2006-02-13 |
| 1760031850 | Melissa Marie Schuring | Nurse Anesthetist, Certified Registered | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2019-09-10 |
| 1841738952 | Children's Health Care | Pediatrics | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2017-02-09 |
| 1003354853 | Maria A Andrews | Nurse Practitioner | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2017-02-01 |
| 1619351145 | Nicole Frikke | Nurse Practitioner | 2525 Chicago Avenue South, Minneapolis, MN 55404 | 2015-07-15 |
| 1417351750 | Hae Jin Cho | Pharmacist | 2525 Chicago Avenue South, Minneapolis, MN 55404 | 2014-10-15 |
| 1275936262 | Children's Health Care | Clinical Medical Laboratory | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2014-10-03 |
| 1639448624 | Patricia Jolene Tran | Pharmacist | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2011-12-20 |
| 1164633525 | Tammy L Abbott | Social Worker | 2525 Chicago Avenue South, Childrens Hospitals and Clinics of Minnesota Home Care, Minneapolis, MN 55404 | 2007-05-25 |
| 1053522417 | Martha M Schermer | Social Worker | 2525 Chicago Avenue South, Childrens Hospitals and Clinics of Minnesota Home Care, Minneapolis, MN 55404 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437567609 | Aligned Chiropractic Pa | Clinic/Center | 3408 E Lake St, Suite 120, Minneapolis, MN 55406-2175 | 2014-07-31 |
| 1629252101 | Paula Allenburg, Ltd | Clinic/Center | 2415 Emerson Ave S, Minneapolis, MN 55405-2602 | 2007-12-20 |
| 1235164856 | Ronald Richard Vessey | Clinic/Center | 825 Nicollet Mall Ste 411, Minneapolis, MN 55402-2611 | 2006-07-12 |
| 1366893430 | Department of Veterans Affairs | Clinic/Center | 1 Veterans Dr, Routing Number 119, Minneapolis, MN 55417-2309 | 2016-06-29 |
| 1790171171 | Mill City Dermatology, P.a. | Clinic/Center | 825 Nicollet Mall, Suite 1227, Minneapolis, MN 55402-2606 | 2015-04-12 |
| 1194158154 | Active Feet, Foot & Ankle Health Center | Clinic/Center | 6625 Lyndale Ave S Ste 105, Minneapolis, MN 55423-2673 | 2013-08-14 |
| 1972864742 | University of Minnesota | Clinic/Center | 420 Delaware St Se, Mmc 295, Minneapolis, MN 55455-5001 | 2012-06-07 |
| 1447534904 | Affinity Health Chiropractic, P.a. | Clinic/Center | 1527 E Lake St, Suite 200a, Minneapolis, MN 55407-6700 | 2011-10-03 |
| 1568786150 | Minnesota Colon & Rectal Surgical Specialists, Pllc | Clinic/Center | 910 E 26th St, Suite 101, Minneapolis, MN 55404-4526 | 2010-03-25 |
| 1740475425 | University of Minnesota | Clinic/Center | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2007-09-06 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on CHILDREN'S CLINIC NETWORK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.