CHILDREN'S CLINIC NETWORK NPI 1013278720

NPI Information

  • NPI: 1013278720
  • Provider Name: CHILDREN'S CLINIC NETWORK
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: PARTNERS IN PEDIATRICS
  • CLIA Number: 24D0400712
  • Address: 12720 BASS LAKE RD
    MAPLE GROVE, MN
    ZIP 55369
  • Phone: (763) 559-2861

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NPI Details

CHILDREN'S CLINIC NETWORK is a primary care clinic center in Maple Grove, MN. CHILDREN'S CLINIC NETWORK NPI is 1013278720. The provider is registered as an organization entity type.
The provider Is Doing Business As Partners In Pediatrics.

The provider's business location address is:

12720 BASS LAKE RD
MAPLE GROVE, MN
ZIP 55369-307
Phone: (763) 559-2861
Fax: (763) 559-1338

The provider's authorized official is Brenda Lu Alexander Mccormick .
The authorized official title is Sr. Vp And Chief Financial Officer and has the following contact phone number (612) 813-6129.

The CLIA number assigned to this NPI record is 24D0400712 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/30/2012 and was last updated on 10/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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