CARTHAGE CHILDREN'S CLINIC LLC NPI 1073916623

NPI Information

  • NPI: 1073916623
  • Provider Name: CARTHAGE CHILDREN'S CLINIC, LLC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 1221 OAK ST
    CARTHAGE, MO
    ZIP 64836
  • Phone: (417) 359-9291

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NPI Details

CARTHAGE CHILDREN'S CLINIC, LLC is an adolescent medicine pediatrics in Carthage, MO. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. CARTHAGE CHILDREN'S CLINIC, LLC NPI is 1073916623. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1221 OAK ST
CARTHAGE, MO
ZIP 64836-028
Phone: (417) 359-9291
Fax: (417) 359-9241

The provider's authorized official is Denise M Hamar .
The authorized official title is Owner and has the following contact phone number (417) 359-9291.

The enumeration date for this NPI number is 9/26/2014 and was last updated on 9/26/2014.

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
12080A0000XPediatricsAdolescent MedicineR7F62MISSOURIYes

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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