KIDS KLINIC LLC NPI 1215277652

NPI Information

  • NPI: 1215277652
  • Provider Name: KIDS KLINIC LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Address: 200 COUNTRY CLUB RD
    CARRIERE, MS
    ZIP 39426
  • Phone: (601) 799-4777

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NPI Details

KIDS KLINIC LLC is a rural health clinic center in Carriere, MS. KIDS KLINIC LLC NPI is 1215277652. The provider is registered as an organization entity type.

The provider's business location address is:

200 COUNTRY CLUB RD
CARRIERE, MS
ZIP 39426-037
Phone: (601) 799-4777

The provider's authorized official is Ahmad Haidar .
The authorized official title is Owner and has the following contact phone number (601) 799-4777.

The enumeration date for this NPI number is 2/21/2013 and was last updated on 12/3/2015.

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
1261QR1300XClinic/CenterRural Health13678MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110001530MEDICARE PINMISSISSIPPI
2F67277MEDICARE UPINMISSISSIPPI
300112453MEDICAIDMISSISSIPPI

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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