CHILDREN'S CLINIC NETWORK (NPI# 1578830733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578830733 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S CLINIC NETWORK |
| Other Organization Name | METROPOLITAN PEDIATRIC SPECIALISTS |
| Practice Address |
6517 Drew Avenue South Edina MN 55435-2103 |
| Mailing Address |
5901 Lincoln Drive Cbc-2-rev/pe Edina MN 55436-1611 |
| Practice Telephone | 9529209191 |
| Mailing Telephone | 9529925691 |
| Mailing Fax Number | 9529926917 |
| Enumeration Date | 2011-11-16 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Metropolitan Pediatric Specialists | 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 |
| 1013278720 | Children's Clinic Network | Clinic/Center | 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 | 2012-05-30 |
| 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 |
| Street Address |
6517 DREW AVENUE SOUTH |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871684670 | France Avenue Family Physicians, P.a. | Clinic/Center | 7600 France Ave S # 4100, Edina, MN 55435 | 2006-09-27 |
| 1164706602 | Children's Health Care | Clinic/Center | 6545 France Ave S, Suite 400, Edina, MN 55435-2131 | 2011-10-03 |
| 1891931218 | Edina Medical Group, Inc. | Clinic/Center | 7300 France Ave S, Suite 300, Edina, MN 55435-4525 | 2009-01-07 |
| 1346432200 | Fairview Clinics | Clinic/Center | 6545 France Ave S, Ste 150, Edina, MN 55435-2131 | 2007-08-15 |
| 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 | ||||
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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.