Provider Type Icon

CLEVELAND CHILDREN'S CLINIC PLLC NPI 1780460642


NPI Information

NPI: 1780460642
Provider Name: CLEVELAND CHILDREN'S CLINIC, PLLC

Doing Business As: GREENVILLE CHILDREN'S CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 25D2291313

Address:
1431 S COLORADO ST
GREENVILLE, MS
ZIP 38703
Phone: (662) 579-3449
Get Directions

CLEVELAND CHILDREN'S CLINIC, PLLC is a pediatrics in Greenville, MS. 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. CLEVELAND CHILDREN'S CLINIC, PLLC NPI is 1780460642. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Greenville Children's Clinic.

The provider's business location address is:

1431 S COLORADO ST
GREENVILLE, MS
ZIP 38703-243
Phone: (662) 579-3449

The provider's authorized official is Jose Brevil .
The authorized official title is Executive Director and has the following contact phone number (662) 579-3449.

The CLIA number assigned to this NPI record is 25D2291313 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2023 and was last updated on 10/19/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.