Fridley Children'S And Teenagers' Medical Center Pa

LBN: Child And Teen Medical Center
Fridley Children'S And Teenagers' Medical Center Pa is an health care organization with primary practice located at 11107 Ulysses St Ne Ste 100 , Blaine MN 55434-4184. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Child And Teen Medical Center can be contacted via phone (763) 333-7733, or through Bennett, Angela Marie via phone (763) 333-7755.

Contact Information

Primary practice address
11107 Ulysses St Ne Ste 100 Blaine MN 55434-4184
Phone: (763) 333-7733
Fax: (763) 333-7711
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Angela Marie Bachelor of Arts (BA)
Phone: (763) 333-7755

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1225158520
LBN Legal business name Child And Teen Medical Center
DBA Doing business as Fridley Children'S And Teenagers' Medical Center Pa
Authorized official Bennett, Angela Marie Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Aug 24th, 2021 - about 3 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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