Children'S Acceleration Program, Inc

LBN: Children'S Acceleration Program, Inc
Children'S Acceleration Program, Inc is an health care organization with primary practice located at 112 Issaquena Ave , Clarksdale MS 38614-4315. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as the primary health care specialty. Children'S Acceleration Program, Inc can be contacted via phone (662) 627-2741, or through Mitchell, Doris via phone (662) 627-2741.

Contact Information

Primary practice address
112 Issaquena Ave Clarksdale MS 38614-4315
Fax:
Website:
Authorized official contact:
Name: Mitchell, Doris Nurse Practitioner (NP)

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R125740 Mississippi

Profile Details

NPI number 1093865933
LBN Legal business name Children'S Acceleration Program, Inc
DBA Doing business as
Authorized official Mitchell, Doris Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093865933 NPPES
Mississippi MEDICAID 00020541
Mississippi MEDICAID 00009266

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