# PEDIATRIC CENTER HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hummingbird Ear Tube Clinic for Kids
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891297925
- **Authorized official:** MRS. TRACI MARIE ALBERS (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (612) 718-0092

## Contact information

- **Practice address:** 15450 HIGHWAY 7 STE 200, MINNETONKA, MN 55345-3522
- **Practice address phone:** (763) 581-8960
- **Mailing address:** 1158 SUNRISE ALCOVE, WOODBURY, MN 55125-9284
- **Mailing address phone:** (612) 718-0092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2018
- **Last updated:** 03/05/2018