CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION NPI 1962712521

NPI Information

CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION is an adolescent medicine family medicine in New Orleans, LA. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION NPI is 1962712521. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

298 HENRY CLAY AVE
NEW ORLEANS, LA
ZIP 70118-720
Phone: (504) 896-9827
Fax: (504) 894-5370

The provider's authorized official is Matt Groninger .
The authorized official title is Executive Director and has the following contact phone number (504) 894-6771.

The CLIA number assigned to this NPI record is 19D1001326 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 5/10/2018.

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:

Other Identifiers

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