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Organization

CHILDRENS HEALTH CARE

Active
Other names
Childrens Hospitals and Clinics of Minnesota
Organization subpart
No

Provider details

NPI number
Authorized official
MARC H GORELICK MD (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(612) 813-8031
Entity
Organization

Contact information

Practice address
345 SMITH AVE N, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA, SAINT PAUL, MN 55102-2346
(651) 220-6000
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE, CHILDREN'S HEALTH CARE, EDINA, MN 55436
(952) 992-5398
(952) 992-6917

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
282NC2000X
Children's Hospital
Primary
331019
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141847500
MN
Enumeration date
10/02/2006
Last updated
10/31/2022
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