Pediatric Services Pa

LBN: Pediatric Services Pa
Pediatric Services Pa is an health care organization with primary practice located at 4700 Park Glen Rd , St Louis Park MN 55416-5701. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Pediatric Services Pa can be contacted via phone (952) 922-4200, or through Zerba, Jennifer via phone (952) 922-4200.

Contact Information

Primary practice address
4700 Park Glen Rd St Louis Park MN 55416-5701
Phone: (952) 922-4200
Fax: (952) 922-4301
Website:
Map and Directions
Authorized official contact:
Name: Zerba, Jennifer
Phone: (952) 922-4200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 1056 Minnesota

Profile Details

NPI number 1962553917
LBN Legal business name Pediatric Services Pa
DBA Doing business as
Authorized official Zerba, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 10th, 2016 - about 8 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 1962553917 NPPES
Minnesota MEDICAID 485010600

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