Jacksonville Children'S And Multispecialty Clinic, Pa
LBN: Jacksonville Children'S And Multispecialty Clinic, Pa
Jacksonville Children'S And Multispecialty Clinic, Pa is an health care organization with primary practice located at 118 Memorial Dr , Jacksonville NC 28546-6328. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Jacksonville Children'S And Multispecialty Clinic, Pa can be contacted via phone (910) 353-0581, or through Mittal, Madhur via phone (910) 353-0581.
Contact Information
Primary practice address
118 Memorial Dr
Jacksonville NC 28546-6328
Phone: (910) 353-0581
Fax: (910) 353-1351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | ||
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | ||
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X |
Profile Details
| NPI number | 1164519070 |
|---|---|
| LBN Legal business name | Jacksonville Children'S And Multispecialty Clinic, Pa |
| DBA Doing business as | |
| Authorized official | Mittal, Madhur Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Nov 21st, 2023 - about last year |
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 | 1164519070 | NPPES |
| North Carolina | MEDICAID | 1164519070 |
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