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NEW LEAF CENTER NPI 1144650987


NPI Information

NPI: 1144650987
Provider Name: NEW LEAF CENTER
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 36D2065085

Address:
15988B E. CHESTNUT ST.
MOUNT EATON, OH
ZIP 44659
Phone: (330) 359-9888
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NEW LEAF CENTER is a pediatrics in Mount Eaton, OH. 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. NEW LEAF CENTER NPI is 1144650987. The provider is registered as an organization entity type.

The provider's business location address is:

15988B E. CHESTNUT ST.
MOUNT EATON, OH
ZIP 44659-998
Phone: (330) 359-9888
Fax: (330) 359-9890

The provider's authorized official is Olivia K Wenger .
The authorized official title is Executive Director, Physician and has the following contact phone number (330) 359-9888.

The CLIA number assigned to this NPI record is 36D2065085 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 11/14/2013.


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
1261Q00000XClinic/CenterNo
2208000000XPediatricsYes

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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