CHILDREN'S CLINIC LTD NPI 1306941505

NPI Information

  • NPI: 1306941505
  • Provider Name: CHILDREN'S CLINIC LTD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 49D0674124
  • Address: 23 MANHATTAN SQUARE
    HAMPTON, VA
    ZIP 23666
  • Phone: (757) 595-0358

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NPI Details

CHILDREN'S CLINIC LTD is a pediatrics in Hampton, VA. 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 CLINIC LTD NPI is 1306941505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23 MANHATTAN SQUARE
HAMPTON, VA
ZIP 23666
Phone: (757) 595-0358
Fax: (757) 595-6745

The provider's authorized official is Julian H Blalock Jr .
The authorized official title is President and has the following contact phone number (757) 595-0358.

The CLIA number assigned to this NPI record is 49D0674124 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/28/2024.

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
1208000000XPediatrics0101035213VIRGINIAYes

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
1006729932MEDICAIDVIRGINIA
2006797059MEDICAIDVIRGINIA
31467457697OTHERVIRGINIANPI NUMBER
41639174436OTHERVIRGINIANPI NUMBER
51699770826OTHERVIRGINIANPI NUMBER
61972508778OTHERVIRGINIANPI NUMBER
7006716962MEDICAIDVIRGINIA
81316942550OTHERVIRGINIANPI NUMBER
9006703828MEDICAIDVIRGINIA
10010043859MEDICAIDVIRGINIA
111104821339OTHERVIRGINIANPI NUMBER
121619972833OTHERVIRGINIANPI NUMBER
13006769187MEDICAIDVIRGINIA
141891790028OTHERVIRGINIANPI NUMBER

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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