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PEDIATRIC HOUSECALL SERVICES PLLC NPI 1093250904


NPI Information

NPI: 1093250904
Provider Name: PEDIATRIC HOUSECALL SERVICES PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D2125144

Address:
1899 TATE BLVD SE
SUITE 2108
HICKORY, NC
ZIP 28602
Phone: (828) 327-6500
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PEDIATRIC HOUSECALL SERVICES PLLC is a pediatrics in Hickory, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC HOUSECALL SERVICES PLLC NPI is 1093250904. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1899 TATE BLVD SE
SUITE 2108
HICKORY, NC
ZIP 28602-200
Phone: (828) 327-6500
Fax: (828) 327-4700

The provider's authorized official is David John Dumond .
The authorized official title is Chief Operating Officer and has the following contact phone number (704) 607-3483.

The CLIA number assigned to this NPI record is 34D2125144 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/1/2017 and was last updated on 1/1/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics200200214NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H98566MEDICARE UPINNORTH CAROLINA
289135HHMEDICAIDNORTH CAROLINA

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: 4/28/2024

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