North Suburban Youth Health Clinic, Inc

LBN: Annex Teen Clinic
North Suburban Youth Health Clinic, Inc is an health care organization with primary practice located at 5810 42Nd Avenue North , Robbinsdale MN 55422. The organization recently has only one registered license in Ambulatory Health Care Facilities / Family Planning, Non-Surgical, which is considered as the primary health care specialty. Annex Teen Clinic can be contacted via phone (763) 533-1316, or through Murray, Diane Thompson via phone (763) 235-1980.

Contact Information

Primary practice address
5810 42Nd Avenue North Robbinsdale MN 55422
Phone: (763) 533-1316
Fax: (763) 531-0315
Website:
Map and Directions
Authorized official contact:
Name: Murray, Diane Thompson
Phone: (763) 235-1980

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Family Planning, Non-Surgical 261QF0050X Minnesota

Profile Details

NPI number 1255462487
LBN Legal business name Annex Teen Clinic
DBA Doing business as North Suburban Youth Health Clinic, Inc
Authorized official Murray, Diane Thompson
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Feb 13th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255462487 NPPES
Minnesota MEDICAID 178182100

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