River Glen Pediatrics
LBN: Children'S Medical Group
River Glen Pediatrics is an health care organization with primary practice located at 4655 N Port Washington Rd Ste 200 , Glendale WI 53212-1076. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Children'S Medical Group can be contacted via phone (414) 247-9530, or through Khare, Smriti via phone (414) 266-7615.
Contact Information
Primary practice address
4655 N Port Washington Rd Ste 200
Glendale WI 53212-1076
Phone: (414) 247-9530
Fax: (414) 247-1875
Website:
Health care specialties
Profile Details
| NPI number | 1710152954 |
|---|---|
| LBN Legal business name | Children'S Medical Group |
| DBA Doing business as | River Glen Pediatrics |
| Authorized official | Khare, Smriti Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Sep 27th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710152954 | NPPES |
| Wisconsin | MEDICAID | 1710152954 |
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