NPIMap

Organization Active NPI

Children's Clinic Network

Doing business as Children's Hugo Clinic

  • Primary Care Clinic/Center
  • Hugo, MN
National Provider Identifier
1447529235
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHILDREN'S CLINIC NETWORK
Doing business as
Children's Hugo Clinic
Practice address
14701 Victor Hugo Blvd N
Hugo, MN 55038-4561
Phone
(651) 426-1141
NPI assigned
Dec 22, 2011
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Lu Alexander McCormick
Title
Sr. VP and Chief Financial Officer
Phone
(612) 813-6129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

14701 Victor Hugo Blvd N
Hugo, MN 55038-4561

Mailing address

5901 Lincoln Drive, CBC-2-Rev/Pe
Children's Clinic Network
Edina, MN 55436-1611
Phone (952) 992-5691

Other names 1

  • Children's Hugo Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130214000538 MN Part B Supplier - Clinic/Group Practice 5890949192 Receives reassigned benefits from 62 practitioners
4 other NPIs on this enrollment
Practice locations: West St Paul, MN; West Saint Paul, MN; Saint Louis Park, MN; Rogers, MN; Minnetonka, MN; Maple Grove, MN; Hugo, MN; Brooklyn Park, MN

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0666564Children's Clinic Network14701 Victor Hugo Blvd, Hugo, MN 55038AccreditationDec 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Children's Clinic Network4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12720 Bass Lake Rd
Maple Grove, MN 55369
Phone (763) 278-0804

963 Robert St S
West St Paul, MN 55118
Phone (651) 726-9500

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1447529235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 LINCOLN DRIVE, CBC-2-REV/PE",
            "address_2": "CHILDREN'S CLINIC NETWORK",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361611",
            "telephone_number": "952-992-5691",
            "fax_number": "952-992-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 VICTOR HUGO BLVD N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384561",
            "telephone_number": "651-426-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CLINIC NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "BRENDA LU",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "SR. VP AND CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "612-813-6129"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hugo Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Hugo Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hugo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.