Pediatric Services Pa in St Louis Park - Clinic/center
Pediatric Services Pa - NPI 1962553917
Pediatric Services Pa is a Clinic/center in St Louis Park, Minnesota. Pediatric Services Pa practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Pediatric Services Pa is 1962553917. The last update date is 2016-03-10.
Pediatric Services Pa's current location address is 4700 Park Glen Rd, St Louis Park, Minnesota. You can contact this provider via phone number 9529224200 and fax number 9529224301. The mailing address for Pediatric Services Pa is 4700 Park Glen Rd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Services Pa |
|---|---|
| Address | 4700 Park Glen Rd, St Louis Park, Minnesota |
| Phone Number | 9529224200 |
| Fax Number | 9529224301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Zerba Jennifer |
| Telephone Number | 9529224200 |
NPI Number Detail
| NPI Number | 1962553917 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2016-03-10 |
Provider Mailing Address Detail
| Address | 4700 Park Glen Rd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554165701 |
| Phone Number | 9529224200 |
| Fax Number | 9529224301 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 1056 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 485010600 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pediatric Services Pa by the Centers for Medicare & Medicaid Services?
The Pediatric Services Pa has been issued the NPI (National Provider Identifier) 1962553917, 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 Pediatric Services Pa?
The Pediatric Services Pa is situated at 4700 Park Glen Rd, in the city of St Louis Park, state of MN, with the zip code 554165701.
What is Pediatric Services Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pediatric Services Pa's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.
On what date did the Pediatric Services Pa receive its 1962553917 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Services Pa was assigned its 1962553917 by the Centers for Medicare & Medicaid Services on 2007-01-16.
When was the information regarding Pediatric Services Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pediatric Services Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-03-10.
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