CHILDRENS HEALTH CARE SERVICES INC


Address: 6050 Clearwater Drive, Childrens Mtka Independent Diagnostic Testing Facility, Minnetonka, MN 55343
Phone: 9529308600

CHILDRENS HEALTH CARE SERVICES INC (NPI# 1528167491) 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) 1528167491
Entity Type Organization
Organization Name CHILDRENS HEALTH CARE SERVICES INC
Practice Address 6050 Clearwater Drive
Childrens Mtka Independent Diagnostic Testing Facility
Minnetonka
MN 55343
Mailing Address 5901 Lincoln Dr
Cbc-2-rev/pe
Edina
MN 55436-1611
Practice Telephone 9529308600
Practice Fax Number 9529308650
Mailing Telephone 9529925691
Mailing Fax Number 9529926917
Enumeration Date 2006-09-21
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 261QR0200X Clinic/Center
Specialization: Radiology
331022 MN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 847979800 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255416681 Childrens Health Care Services Inc Anesthesiology 6050 Clearwater Drive, Childrens Minnetonka, Minnetonka, MN 55343 2006-10-26
1952405284 Childrens Health Care Services Inc Clinic/Center 6050 Clearwater Drive, Childrens Minnetonka Ambulatory Surgical Ctr, Minnetonka, MN 55343 2006-09-08

Office Location

Street Address 6050 CLEARWATER DRIVE
CHILDRENS MTKA INDEPENDENT DIAGNOSTIC TESTING FACILITY
City MINNETONKA
State MN
Zip Code 55343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619085347 Mary K Saunders Nurse Anesthetist, Certified Registered 6050 Clearwater Drive, Childrens Health Care West, Minnetonka, MN 55343 2006-08-25
1205912979 Mary K Lovejoy Nurse Anesthetist, Certified Registered 6050 Clearwater Drive, Childrens Health Care West, Minnetonka, MN 55343 2006-10-27
1255416681 Childrens Health Care Services Inc Anesthesiology 6050 Clearwater Drive, Childrens Minnetonka, Minnetonka, MN 55343 2006-10-26
1033218938 Jane M Schultz Nurse Practitioner 6050 Clearwater Drive, Childrens Health Care West, Minnetonka, MN 55343 2006-09-21
1952405284 Childrens Health Care Services Inc Clinic/Center 6050 Clearwater Drive, Childrens Minnetonka Ambulatory Surgical Ctr, Minnetonka, MN 55343 2006-09-08
1093823759 Lisa M Block Nurse Anesthetist, Certified Registered 6050 Clearwater Drive, Childrens Health Care West, Minnetonka, MN 55343 2006-08-25
1376651018 Judy M Holasek-fritz Nurse Anesthetist, Certified Registered 6050 Clearwater Drive, Childrens Health Care West, Minnetonka, MN 55343 2006-08-25
1528176278 Jacqueline A Gingerich Nurse Anesthetist, Certified Registered 6050 Clearwater Drive, Childrens Health Care West, Minnetonka, MN 55343 2006-08-25

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NPI Name Taxonomy Address Enumeration
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1871043240 Katherine Rae Skarphol Speech-Language Pathologist 5501 Feltl Rd, Hopkins, MN 55343 2016-10-10
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1649723420 Stephanie Stackhouse Internal Medicine 5520 Bristol Lane, Minnetonka, MN 55343 2016-07-28
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1851766356 Enrique Mendoza Rojas Nurse Practitioner 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 2015-12-09
1013307230 Susanna Monroe Nurse Practitioner Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 2015-01-26
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1871006700 Allina Health System Clinic/Center 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 2017-11-14
1740519933 Mri School of Minnesota, LLC Clinic/Center 6053 Hudson Rd Ste 265, Woodbury, MN 55125-1000 2009-12-17
1093994030 Children's Health Care Clinic/Center 2525 Chicago Ave. S., Minneapolis, MN 55404-4518 2007-10-26
1679601553 Stand Up Mid America Mri, P.a. Clinic/Center 604 Lilac Dr N, Suite 100, Golden Valley, MN 55422-4610 2007-03-01
1184675670 Cardiac Evaluation Services Inc Clinic/Center 8441 Wayzata Blvd, Golden Valley, MN 55426 2006-05-12
1629027594 Suburban Radiologic Consultants, Ltd. Clinic/Center 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113-5511 2006-05-09
1194725044 Arrowhead Consultation Service Ltd Clinic/Center 415 Se 13th St, Suite 101, Grand Rapids, MN 55744-4248 2005-07-21
1396748307 Lifescan Minnesota LLC Clinic/Center 3955 Parklawn Ave, Ste 110, Edina, MN 55435-5657 2005-05-23
1639648348 St Joseph's Medical Center Clinic/Center 2019 S 6th St, Brainerd, MN 56401-4528 2018-11-26
1154834091 Noble Imaging Center, LLC Clinic/Center 4610 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 2017-11-14
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Competitor

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City MINNETONKA
Zip Code 55343

Improve Information

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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.

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