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Organization
CHILDRENS HEALTH CARE
Active
Organization
CHILDRENS HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LU ALEXANDER MCCORMICK (SR. VP AND CHIEF FINANCIAL OFFICER)
(612) 813-6129
Entity
Organization
Contact information
Practice address
2525 CHICAGO AVE S, MINNEAPOLIS, MN 55404
(612) 813-6000
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE, CHILDREN'S HEALTH CARE, EDINA, MN 55436
(952) 992-5691
(952) 992-6917
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282NC2000X
Children's Hospital
Primary
331018
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435247500
—
MN
Enumeration date
09/21/2006
Last updated
10/31/2022
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