CHILDREN'S COMMUNITY CARE NPI 1255349668

NPI Information

  • NPI: 1255349668
  • Provider Name: CHILDREN'S COMMUNITY CARE
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: CHILDREN'S COMMUNITY PEDIATRICS
  • CLIA Number: 39D0947661
  • Address: 56 CLUB LN
    BLAIRSVILLE, PA
    ZIP 15717
  • Phone: (724) 459-6560

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NPI Details

CHILDREN'S COMMUNITY CARE is a pediatrics in Blairsville, PA. 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. CHILDREN'S COMMUNITY CARE NPI is 1255349668. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Children's Community Pediatrics.

The provider's business location address is:

56 CLUB LN
BLAIRSVILLE, PA
ZIP 15717-957
Phone: (724) 459-6560

The provider's authorized official is Lori Martinez .
The authorized official title is Executive Administrator Iii and has the following contact phone number (724) 933-1100.

The CLIA number assigned to this NPI record is 39D0947661 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 9/13/2023.

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
1208000000XPediatricsYes

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
1001597376OTHERPENNSYLVANIAHIGHMARK ID#

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: 3/30/2025

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