Child And Teen Medical Center in Blaine - Pediatrics
Child And Teen Medical Center - NPI 1225158520
Child And Teen Medical Center is a Pediatrics in Blaine, Minnesota. Child And Teen Medical Center practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Child And Teen Medical Center is 1225158520. The last update date is 2021-08-24.
Child And Teen Medical Center's current location address is 11107 Ulysses St Ne Ste 100, Blaine, Minnesota. You can contact this provider via phone number 7633337733 and fax number 7633337711. The mailing address for Child And Teen Medical Center is 11107 Ulysses St Ne Ste 100, Blaine, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Child And Teen Medical Center |
|---|---|
| Address | 11107 Ulysses St Ne Ste 100, Blaine, Minnesota |
| Phone Number | 7633337733 |
| Fax Number | 7633337711 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTIC AD |
|---|---|
| Authorized Official Name | Bennett Marie Angela |
| Credentials | BA |
| Telephone Number | 7633337755 |
NPI Number Detail
| NPI Number | 1225158520 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2021-08-24 |
Provider Mailing Address Detail
| Address | 11107 Ulysses St Ne Ste 100 |
|---|---|
| City | Blaine |
| State | Minnesota (MN) |
| Post Code | 554344184 |
| Phone Number | 7633337733 |
| Fax Number | 7633337711 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Child And Teen Medical Center by the Centers for Medicare & Medicaid Services?
The Child And Teen Medical Center has been issued the NPI (National Provider Identifier) 1225158520, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Child And Teen Medical Center?
The Child And Teen Medical Center is situated at 11107 Ulysses St Ne Ste 100, in the city of Blaine, state of MN, with the zip code 554344184.
What is Child And Teen Medical Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Child And Teen Medical Center's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
When did the Child And Teen Medical Center receive its 1225158520?
The Child And Teen Medical Center was issued its 1225158520 on 2007-03-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Child And Teen Medical Center most recently updated or revised?
The information pertaining to Child And Teen Medical Center, including its address, specialty, and other relevant details, was last updated or revised on 2021-08-24.
NPI Number: 1194728618
Address: 10470 Valentine Rd S, Tallahassee, FL