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FLINT CHILDREN'S CENTER PC NPI 1639383110


NPI Information

NPI: 1639383110
Provider Name: FLINT CHILDREN'S CENTER, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D0703128

Address:
5205 NORKO DR
FLINT, MI
ZIP 48507
Phone: (810) 733-0400
Get Directions

FLINT CHILDREN'S CENTER, PC is a pediatrics in Flint, MI. 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. FLINT CHILDREN'S CENTER, PC NPI is 1639383110. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5205 NORKO DR
FLINT, MI
ZIP 48507-027
Phone: (810) 733-0400
Fax: (810) 733-8638

The provider's authorized official is Milton G Holloway .
The authorized official title is President and has the following contact phone number (810) 733-0400.

The CLIA number assigned to this NPI record is 23D0703128 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMH051513MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
114695OTHERMICHIGANMCARE
22964982MEDICAIDMICHIGAN
31007181OTHERMICHIGANMCLAREN HEALTH PLAN
43502509182OTHERMICHIGANBLUE CROSS BLUE SHIELD
5P62874OTHERMICHIGANBLUE CARE NETWORK
63502500912OTHERMICHIGANHEALTH PLUS
7C3740OTHERMICHIGANMCARE
8020994OTHERMICHIGANCHILDREN'S CHOICE OF MI
91001811OTHERMICHIGANMCLAREN HEALTH PLAN
100994720OTHERMICHIGANHEALTH PLUS
111001841OTHERMICHIGANMCLAREN HEALTH PLAN
124106643MEDICAIDMICHIGAN
133S509182OTHERMICHIGANHEALTH PLUS
144821236MEDICAIDMICHIGAN
15C5505OTHERMICHIGANMCARE
16P59531OTHERMICHIGANBLUE CARE NETWORK
1735025009012OTHERMICHIGANBLUE CROSS BLUE SHIELD
18G01761OTHERMICHIGANBLUE CARE NETWORK GROUP
19P79625OTHERMICHIGANBLUE CARE NETWORK
20021022OTHERMICHIGANCHILDREN'S CHOICE OF MI

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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