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SOUTH BALDWIN CHILDRENS CENTER PC NPI 1679795777


NPI Information

NPI: 1679795777
Provider Name: SOUTH BALDWIN CHILDRENS CENTER PC

Doing Business As: SOUTH BALDWIN CHILDRENS CENTER

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 01D0691180

Address:
106 W MYRTLE AVE
FOLEY, AL
ZIP 36535
Phone: (251) 943-5437
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SOUTH BALDWIN CHILDRENS CENTER PC is a pediatrics in Foley, AL. 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. SOUTH BALDWIN CHILDRENS CENTER PC NPI is 1679795777. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Baldwin Childrens Center.

The provider's business location address is:

106 W MYRTLE AVE
FOLEY, AL
ZIP 36535-935
Phone: (251) 943-5437
Fax: (251) 943-3227

The provider's authorized official is Harold R Reed .
The authorized official title is Owner and has the following contact phone number (251) 943-5437.

The CLIA number assigned to this NPI record is 01D0691180 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/2/2007 and was last updated on 12/29/2011.


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

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
1000013444MEDICAIDALABAMA
2630913928OTHERALABAMAEIN

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: 11/14/2023

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