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KIDS INTERVENTION & DIAGNOSTIC SERVICE CENTER INC. NPI 1790838324


NPI Information

NPI: 1790838324
Provider Name: KIDS INTERVENTION & DIAGNOSTIC SERVICE CENTER, INC.

Doing Business As: KIDS CENTER

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1375 NW KINGSTON AVE
BEND, OR
ZIP 97701
Phone: (541) 383-5958
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KIDS INTERVENTION & DIAGNOSTIC SERVICE CENTER, INC. is a pediatrics in Bend, OR. 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. KIDS INTERVENTION & DIAGNOSTIC SERVICE CENTER, INC. NPI is 1790838324. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kids Center.

The provider's business location address is:

1375 NW KINGSTON AVE
BEND, OR
ZIP 97701-242
Phone: (541) 383-5958
Fax: (541) 383-3016

The provider's authorized official is Beth Myra Patterson .
The authorized official title is General Manager and has the following contact phone number (541) 383-5958.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 3/19/2009.


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
1058144MEDICAIDOREGON

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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