CHILDREN'S CLINIC NETWORK


Address: 12720 Bass Lake Rd, Maple Grove, MN 55369-6307
Phone: 7635592861

CHILDREN'S CLINIC NETWORK (NPI# 1013278720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013278720
Entity Type Organization
Organization Name CHILDREN'S CLINIC NETWORK
Other Organization Name PARTNERS IN PEDIATRICS
Practice Address 12720 Bass Lake Rd
Maple Grove
MN 55369-6307
Mailing Address 5901 Lincoln Drive
Cbc-2-rev/pe
Edina
MN 55436-1611
Practice Telephone 7635592861
Practice Fax Number 7635591338
Mailing Telephone 9529925691
Mailing Fax Number 9529926917
Enumeration Date 2012-05-30
Last Update Date 2020-10-06
Authorized Official Name BRENDA LU ALEXANDER MCCORMICK (SR. VP AND CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 6128136129
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Partners in Pediatrics Doing Business As Name - Organization

Other Provider IDs and Locations

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
1275894982 Children's Clinic Network Clinic/Center 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 2012-05-30
1447529235 Children's Clinic Network Clinic/Center 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 2011-12-22

Office Location

Street Address 12720 BASS LAKE RD
City MAPLE GROVE
State MN
Zip Code 55369-6307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063498673 Pamela Jean Niksich Pediatrics 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 2005-12-16
1023542545 Emma Pabarcus Pediatrics 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 2017-04-12
1811420466 Michaela Rokosz Pediatrics 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 2017-04-10
1477931152 Megan Elizabeth Camerino Pediatrics 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 2015-05-13
1003236704 Laura Woodbeck Pediatrics 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 2014-04-21
1205151669 Rebecca A Doege Pediatrics 12720 Bass Lake Rd, Maple Grove, MN 55369 2010-03-29
1770551384 Carolyn S. Solberg Nurse Practitioner 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 2006-03-09
1790753580 Gregory J. Pflaster Pediatrics 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 2006-03-09
1538136643 Anmarie L. Oppel Nurse Practitioner 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 2006-03-07
1740257187 Edward J. Fisher Pediatrics 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 2006-03-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376144188 Bonnie Rose Theis Counselor 24 3rd Ave Ne, Unit B, Osseo, MN 55369 2020-11-06
1356976328 Kirollos Samir Hanna Pharmacist 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 2020-03-10
1396395463 Susan Osborne Technician 9240 Orchid Lane, Maple Grove, MN 55369 2019-09-19
1710537196 Janis Langsdale Technician 11070 108 Avenue North, Maple Grove, MN 55369 2019-09-17
1043724552 Tracey Wahlquist Speech-Language Pathologist 11100 86th Ave N, Maple Grove, MN 55369 2017-11-20
1154860005 Kayla Uptagrafft Specialist/Technologist 9555 Upland Lane Norh, Maple Grove, MN 55369 2017-02-13
1750823324 Jennifer Ranallo Social Worker 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 2016-11-13
1558723999 Debra Grace Boersma Advanced Practice Midwife 9825 Hospital Dr#205, Maple Grove, MN 55369 2016-03-24
1396129433 Maple Grove Smiles Dentistry, PC Dentist 12775 Elm Creek Blvd N, Maple Grove, MN 55369 2015-07-18
1558755900 Krista Newman Counselor 24 3rd St Nw, Unit B, Osseo, MN 55369 2015-03-24
Find all providers in zip 55369

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316361710 Pipe Trade Healthcare Services Clinic/Center 13998 Maple Knoll Way, Maple Grove, MN 55369-7004 2014-02-06
1003247396 North Memorial Health Care Clinic/Center 9855 Hospital Dr Ste 102, Maple Grove, MN 55369-4648 2013-12-11
1790977486 Fairview Clinics Clinic/Center 6320 Wedgewood Rd N, Maple Grove, MN 55311-3647 2007-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003423252 Good Clinic Mn Pllc Clinic/Center 315 1st Ave Ne, Minneapolis, MN 55413-5001 2020-09-30
1407496219 Hope Health Initiative Clinic/Center 6818 Humboldt Ave N, Brooklyn Center, MN 55430-1536 2020-01-09
1902392525 Odam Medical Group Clinic/Center 3405 3rd St N, Saint Cloud, MN 56303-4015 2018-07-06
1376041822 Piic Clinical Services Clinic/Center 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 2018-01-30
1760905475 Patient Centered Care Clinic/Center 8240 Hampshire Ct N, Brooklyn Park, MN 55445 2017-07-25
1740703339 Neopath Clinic/Center 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 2017-07-25
1720500309 Centracare Clinic Clinic/Center 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 2017-07-14
1881116747 Centracare Clinic Clinic/Center 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 2017-07-12
1558898387 Centracare Clinic Clinic/Center 161 Glen St., Ste 101, Foley, MN 56329 2017-05-11
1164958104 Centracare Clinic Clinic/Center 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 2017-05-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City MAPLE GROVE
Zip Code 55369

Improve Information

Please comment or provide details below to improve the information on CHILDREN'S CLINIC NETWORK.

Dataset Information

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.

Trending Searches