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CHILDRENS COMMUNITY CARE NPI 1558546366


NPI Information

NPI: 1558546366
Provider Name: CHILDRENS COMMUNITY CARE

Doing Business As: CHILDRENS COMMUNITY PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 39D1078757

Address:
90 SHENANGO ST STE 12
GREENVILLE, PA
ZIP 16125
Phone: (724) 589-0290
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CHILDRENS COMMUNITY CARE is a pediatrics in Greenville, 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. CHILDRENS COMMUNITY CARE NPI is 1558546366. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Childrens Community Pediatrics.

The provider's business location address is:

90 SHENANGO ST STE 12
GREENVILLE, PA
ZIP 16125-060
Phone: (724) 589-0290
Fax: (724) 589-0293

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 39D1078757 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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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