CHILDRENS HEALTH CARE (NPI# 1629161781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629161781 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HEALTH CARE |
| Other Organization Name | CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA |
| Practice Address |
345 Smith Ave N Childrens Hospitals and Clinics of Minnesota Saint Paul MN 55102-2346 |
| Mailing Address |
5901 Lincoln Drive, Cbc-2-rev/pe Children's Health Care Edina MN 55436 |
| Practice Telephone | 6512206000 |
| Mailing Telephone | 9529925398 |
| Mailing Fax Number | 9529926917 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-11-16 |
| 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 |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
331019 | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 141847500 | 05 |
| Other Name | Type Code |
|---|---|
| Childrens Hospitals and Clinics of Minnesota | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912004631 | Childrens Health Care | Clinic/Center | 5950 Clearwater Drive, Childrens Hospitals and Clinics Community Rehab, Minnetonka, MN 55343 | 2006-09-17 |
| 1780727958 | Childrens Health Care | Pharmacy | 2525 Chicago Ave S, Childrens Hospitals and Clinics Retail Pharmacy Mpls, Minneapolis, MN 55404 | 2007-02-15 |
| 1790827905 | Childrens Health Care | Hearing Aid Equipment | 2525 Chicago Avenue South, Childrens Hospitals and Clinics Hearing Aids, Minneapolis, MN 55404 | 2007-02-13 |
| 1639262785 | Childrens Health Care | Clinic/Center | 345 North Smith Avenue, Childrens Hospitals and Clinics Emergency Physicians, St Paul, MN 55102 | 2006-10-02 |
| 1548353691 | Childrens Health Care | Clinical Medical Laboratory | 345 North Smith Avenue, Childrens Hospitals and Clinics Pathology Stpl, St Paul, MN 55102 | 2006-10-02 |
| 1457444507 | Childrens Health Care | Clinic/Center | 345 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102 | 2006-10-02 |
| 1700979861 | Childrens Health Care | Pharmacy | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2006-10-02 |
| 1134228000 | Childrens Health Care | Clinic/Center | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2006-09-21 |
| 1194824060 | Childrens Health Care | Home Infusion | 2525 Chicago Avenue South, Childrens Home Infusion, Minneapolis, MN 55404 | 2006-09-21 |
| 1881793750 | Childrens Health Care | General Acute Care Hospital | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2006-09-21 |
| Street Address |
345 SMITH AVE N CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515274 | Mary Jennifer Abuzzahab | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2005-08-16 |
| 1447883269 | Children's Health Care | Pharmacy | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2020-02-20 |
| 1134781800 | Maren Vanmieghem | Pharmacist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-07-02 |
| 1689235467 | Sara E Mcdonnell | Registered Nurse | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-06-24 |
| 1003474420 | Megan A Van Hoorn | Registered Nurse | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-05-31 |
| 1104388644 | Cassandra Hoshor | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-04-03 |
| 1861968166 | Caitlin Marie Latta | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-10-15 |
| 1376023309 | Gianna Maria Braband | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-08-20 |
| 1992285373 | Margaret Sharon Daseler | Pharmacist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-08-15 |
| 1083191522 | Ikran Omar Hussein | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497027593 | Kenneth Fred Swaiman | General Acute Care Hospital | 1821 University Ave W, N-188, Saint Paul, MN 55104-2801 | 2012-02-03 |
| 1740325885 | Gillette Childrens Specialty Healthcare | General Acute Care Hospital | 200 University Ave E, Saint Paul, MN 55101-2507 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235260993 | Prairie St. Johns | General Acute Care Hospital | 11610 Wayzata Blvd, Minnetonka, MN 55305-2009 | 2007-03-07 |
| 1922315811 | Minneapolis Childrens Hospital | General Acute Care Hospital | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2010-09-13 |
| 1114230943 | Emilie Goodyear | General Acute Care Hospital | 420 Delaware St Se, Mmc 493, Minneapolis, MN 55455-0341 | 2010-07-21 |
| 1609091388 | Child and Adolescent Behavioral Health Services | General Acute Care Hospital | 1701 Technology Drive Ne, Willmar, MN 56201 | 2007-04-16 |
| 1871636522 | Shriners Hospitals for Children | General Acute Care Hospital | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2007-02-14 |
| 1881793750 | Childrens Health Care | General Acute Care Hospital | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2006-09-21 |
| City | SAINT PAUL |
| Zip Code | 55102 |
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| 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.