LITTLE TREE PEDIATRIC URGENT CARE LLC NPI 1992418461

NPI Information

  • NPI: 1992418461
  • Provider Name: LITTLE TREE PEDIATRIC URGENT CARE LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 26D2276006
  • Address: 206 CORPORATE LAKE DR
    COLUMBIA, MO
    ZIP 65203
  • Phone: (573) 814-1170

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NPI Details

LITTLE TREE PEDIATRIC URGENT CARE LLC is an urgent care clinic center in Columbia, MO. LITTLE TREE PEDIATRIC URGENT CARE LLC NPI is 1992418461. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

206 CORPORATE LAKE DR
COLUMBIA, MO
ZIP 65203-172
Phone: (573) 814-1170
Fax: (573) 530-1037

The provider's authorized official is Adam Wheeler .
The authorized official title is Owner and has the following contact phone number (573) 814-1170.

The CLIA number assigned to this NPI record is 26D2276006 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2022 and was last updated on 1/4/2023.

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
1208000000XPediatricsNo
2261QU0200XClinic/CenterUrgent CareYes

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: 3/30/2025

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