NORTHEAST PEDIATRIC CLINIC
NPI 1477869311
Clinic/Center - Primary Care in Vadnais Heights, MN

Active since August 30, 2010
4520 CENTERVILLE RD, VADNAIS HEIGHTS, MN 55127(651) 426-1141 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Pediatric Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST PEDIATRIC CLINIC (NPI 1477869311) is a healthcare organization registered as a primary care in Vadnais Heights, Minnesota and active in the NPI registry since August 2010. The organization lists Jerry L Massmann, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477869311
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHILDREN'S HEALTH CARE
Location Address4520 CENTERVILLE RDVadnais Heights, MN 55127-3602
Mailing Address2910 Centre Pointe DrRoseville, MN 55113-1182 · (651) 855-2109 · Fax (651) 855-2310
Organization SubpartNo
Authorized OfficialJerry L MassmannCfo · (612) 813-6113
Enumeration DateAugust 30, 2010
Last NPPES UpdateOctober 31, 2022
NPPES CertifiedOctober 31, 2022
NPI 1477869311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MN · 347125
4520 CENTERVILLE RD, Vadnais Heights, MN 55127

Other Names 1

Doing Business AsNortheast Pediatric Clinic

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Pediatrics
4520 CENTERVILLE RD
VADNAIS HEIGHTS, MN 55127
Pediatrics
4520 CENTERVILLE RD
VADNAIS HEIGHTS, MN 55127
Dentist (General Practice)
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Dentist
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Eyewear Supplier
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Dentist (General Practice)
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Pediatrics
4520 CENTERVILLE RD
VADNAIS HEIGHTS, MN 55127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Children's Health Care's NPI number?

The NPI number for Children's Health Care is 1477869311. It was assigned to this organization in the NPPES registry on August 30, 2010. The provider is doing business as Northeast Pediatric Clinic.

Where is Children's Health Care located?

Children's Health Care is located at 4520 Centerville Rd, Vadnais Heights, MN 55127. The listed phone number is (651) 426-1141.

What is Children's Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Children's Health Care was last updated on October 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.