South Lake Clinic, Pa

ActiveOrganizationPediatrics
NPI issued: December 12, 2013

Quick Facts

NPI Number
1780015008
TypeOrganization
StatusActive
SpecialtyPediatrics
Taxonomy208000000X — Pediatrics
Phone
(952) 401-8300
StateMN

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1780015008)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (December 12, 2013)
Data source: CMS NPPES

Provider Overview

SOUTH LAKE CLINIC, PA is a Pediatrics provider based in Chaska, MN who has been registered with CMS since 2013. They are affiliated with South Lake Pediatrics and South Lake Pediatrics. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1780015008
Provider TypeOrganization
StatusActive
Enumeration DateDecember 12, 2013

Practice Location

CityChaska
StateMN
ZIP Code55318-1196
Phone(952) 401-8300

Specialties & Licenses

★ Primary
SpecialtyPediatrics
Taxonomy Code208000000X
License StateMN

Mailing Address

CityChaska
StateMN
ZIP Code55318-1196
Phone(952) 401-8300
Same as practice location

Hospital & Organization Affiliations

🏢

South Lake Pediatrics

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🏢

South Lake Pediatrics

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How to Use This NPI

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For Insurance Billing

Use NPI 1780015008 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1780015008for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1780015008 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Pediatrics

Pediatricians specialize in the physical, emotional, and social health of infants, children, adolescents, and young adults, providing preventative care and treating childhood illnesses.

Browse all Pediatricsproviders →
📊
94,303
Pediatrics Providers in the US

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People Also Ask

What is South Lake Clinic, Pa's NPI number?
South Lake Clinic, Pa's NPI number is 1780015008, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is South Lake Clinic, Pa's NPI currently active?
Yes, South Lake Clinic, Pa's NPI status is Active as of the latest CMS NPPES database updates.
What does South Lake Clinic, Pa specialize in?
South Lake Clinic, Pa specializes in Pediatrics. The healthcare taxonomy code associated with this specialty is 208000000X.
Where does South Lake Clinic, Pa practice?
South Lake Clinic, Pa practices in Chaska, MN 55318-1196.
When was South Lake Clinic, Pa's NPI issued?
South Lake Clinic, Pa's NPI was issued on December 12, 2013.
What is South Lake Clinic, Pa's provider type?
South Lake Clinic, Pa is registered as an Organization under CMS NPI Type 2.