ANNEX TEEN CLINIC (NPI# 1255462487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255462487 |
| Entity Type | Organization |
| Organization Name | ANNEX TEEN CLINIC |
| Other Organization Name | NORTH SUBURBAN YOUTH HEALTH CLINIC, INC |
| Practice Address |
5810 42nd Avenue North Robbinsdale MN 55422 |
| Practice Telephone | 7635331316 |
| Practice Fax Number | 7635310315 |
| Mailing Telephone | 7635331316 |
| Mailing Fax Number | 7635310315 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | DIANE THOMPSON MURRAY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7632351980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 178182100 | 05 |
| Other Name | Type Code |
|---|---|
| North Suburban Youth Health Clinic, Inc | Former Legal Business Name - Organization |
| Street Address |
5810 42ND AVENUE NORTH |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326572520 | Advocates for Reproductive Education | Clinic/Center | 424 James St, Brainerd, MN 56401-2989 | 2017-04-13 |
| 1437499019 | The Clinic LLC | Clinic/Center | 210 Jefferson St S, Wadena, MN 56482-1532 | 2013-02-19 |
| 1588939276 | Mahube-otwa Community Action Partnership | Clinic/Center | 119 Graystone Plz Ste 110, Detroit Lakes, MN 56501-3034 | 2012-03-14 |
| 1457495327 | Diocese of St. Cloud | Clinic/Center | 305 7th Ave N Ste 100, Saint Cloud, MN 56303-3633 | 2007-02-16 |
| 1750451399 | Twin Cities Natural Family Planning Center | Clinic/Center | 69 Exchange St W # 154n, Saint Paul, MN 55102-1004 | 2006-11-09 |
| 1336237700 | Southwestern Minnesota Opportunity Council, Inc. | Clinic/Center | 909 4th Ave, Worthington, MN 56187-2326 | 2006-10-11 |
| 1194056994 | Minnesota Birth Center Inc. | Clinic/Center | 2606 Chicago Ave, Minneapolis, MN 55407-3706 | 2010-01-19 |
| 1780844183 | Natural Family Planning of The Brainerd Lakes Area Inc. | Clinic/Center | 523 N 3rd St, Brainerd, MN 56401-3054 | 2008-06-10 |
| 1831215128 | Otter Tail Wadena Community Action Council | Clinic/Center | 200 1st Ave S, Perham, MN 56573-1445 | 2007-03-21 |
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on ANNEX TEEN CLINIC.
| 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.