Organization
CHILDREN'S CLINIC NETWORK
Active
Other names
Children's Hugo Clinic
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
14701 VICTOR HUGO BLVD N, HUGO, MN 55038-4561
(651) 426-1141
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE, CHILDREN'S CLINIC NETWORK, EDINA, MN 55436-1611
(952) 992-5691
(952) 992-6917
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2011
Last updated
10/31/2022
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