ASHLAND CHILDREN'S CLINIC NPI 1609931658

NPI Information

  • NPI: 1609931658
  • Provider Name: ASHLAND CHILDREN'S CLINIC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 18D0324709
  • Address: 700 13TH ST
    ASHLAND, KY
    ZIP 41101
  • Phone: (606) 329-0204

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NPI Details

ASHLAND CHILDREN'S CLINIC is a pediatrics in Ashland, KY. 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. ASHLAND CHILDREN'S CLINIC NPI is 1609931658. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 13TH ST
ASHLAND, KY
ZIP 41101-620
Phone: (606) 329-0204
Fax: (606) 324-7770

The provider's authorized official is John Roger Potter .
The authorized official title is President and has the following contact phone number (606) 329-0204.

The CLIA number assigned to this NPI record is 18D0324709 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.

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
165917544MEDICAIDKENTUCKY

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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