Northeast Pediatric Clinic

LBN: Children'S Health Care
Northeast Pediatric Clinic is an health care organization with primary practice located at 4520 Centerville Rd , Vadnais Heights MN 55127-3602. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Children'S Health Care can be contacted via phone (651) 426-1141, or through Massmann, Jerry L via phone (612) 813-6113.

Contact Information

Primary practice address
4520 Centerville Rd Vadnais Heights MN 55127-3602
Phone: (651) 426-1141
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Massmann, Jerry L
Phone: (612) 813-6113

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 347125 Minnesota

Profile Details

NPI number 1477869311
LBN Legal business name Children'S Health Care
DBA Doing business as Northeast Pediatric Clinic
Authorized official Massmann, Jerry L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2010
Last updated Oct 31st, 2022 - about 2 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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