Northeast Pediatric Clinic P.A.

LBN: Northeast Pediatric Clinic P.A.
Northeast Pediatric Clinic P.A. 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. Northeast Pediatric Clinic P.A. can be contacted via phone (651) 426-1141, or through Leukuma, Mary Ann via phone (651) 426-1141.

Contact Information

Primary practice address
4520 Centerville Rd Vadnais Heights MN 55127-3602
Phone: (651) 426-1141
Fax: (651) 426-1705
Website:
Map and Directions
Authorized official contact:
Name: Leukuma, Mary Ann Doctor of Medicine (MD)
Phone: (651) 426-1141

Health care specialties

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

Profile Details

NPI number 1730162371
LBN Legal business name Northeast Pediatric Clinic P.A.
DBA Doing business as
Authorized official Leukuma, Mary Ann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2005
Last updated Aug 22nd, 2020 - about 4 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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