Organization
CHILDRENS HEALTH CARE
Active
Other names
Childrens Hospitals and Clinics Of Minnesota
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L MASSMANN (CHIEF FINANCIAL OFFICER)
(612) 813-6113
Entity
Organization
Contact information
Practice address
5950 CLEARWATER DRIVE, CHILDRENS HOSPITALS AND CLINICS COMMUNITY REHAB, MINNETONKA, MN 55343
(952) 930-8630
Mailing address
2910 CENTRE POINTE DRIVE, 35-121A, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435247511
—
MN
Enumeration date
09/17/2006
Last updated
10/31/2022
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