Fayetteville Children'S Clinic, P.A.

LBN: Fayetteville Children'S Clinic, P.A.
Fayetteville Children'S Clinic, P.A. is an health care organization with primary practice located at 1606 Morganton Rd , Fayetteville NC 28305-4738. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Fayetteville Children'S Clinic, P.A. can be contacted via phone (910) 484-3121, or through Kelly, William Huske via phone (910) 484-3121.

Contact Information

Primary practice address
1606 Morganton Rd Fayetteville NC 28305-4738
Phone: (910) 484-3121
Fax: (910) 484-9027
Website:
Map and Directions
Authorized official contact:
Name: Kelly, William Huske Doctor of Medicine (MD)
Phone: (910) 484-3121

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39028 North Carolina

Profile Details

NPI number 1730270448
LBN Legal business name Fayetteville Children'S Clinic, P.A.
DBA Doing business as
Authorized official Kelly, William Huske Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 10th, 2013 - about 12 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 1730270448 NPPES
North Carolina Other 0235G BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 790235G BLUE CROSS BLUE SHIELD

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