THE PEDIATRIC CARE CENTER NPI 1437575172

NPI Information

NPI: 1437575172
Provider Name: THE PEDIATRIC CARE CENTER
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 45D2000357

Address:
214 CHAPARRAL BLVD
RIO GRANDE CITY, TX
ZIP 78582
Phone: (956) 263-1830
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THE PEDIATRIC CARE CENTER is a rural health clinic center in Rio Grande City, TX. THE PEDIATRIC CARE CENTER NPI is 1437575172. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

214 CHAPARRAL BLVD
RIO GRANDE CITY, TX
ZIP 78582-605
Phone: (956) 263-1830
Fax: (956) 263-1836

The provider's authorized official is Daria E Babineaux .
The authorized official title is Medical Director and has the following contact phone number (956) 263-1830.

The CLIA number assigned to this NPI record is 45D2000357 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/5/2014 and was last updated on 7/8/2019.

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
1	208000000X	Pediatrics				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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
1	207981601	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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