Kids Care Pediatrics Rural Health Clinic
LBN: Kids Care Pediatrics,Pa
Kids Care Pediatrics Rural Health Clinic is an health care organization with primary practice located at 6910 Old Wolf Bay Rd , Palatka FL 32177-6800. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Kids Care Pediatrics,Pa can be contacted via phone (386) 328-7337, or through Rosenberg, Owen Mark via phone (386) 328-7337.
Contact Information
Primary practice address
6910 Old Wolf Bay Rd
Palatka FL 32177-6800
Phone: (386) 328-7337
Fax: (386) 325-3742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1518044528 |
|---|---|
| LBN Legal business name | Kids Care Pediatrics,Pa |
| DBA Doing business as | Kids Care Pediatrics Rural Health Clinic |
| Authorized official | Rosenberg, Owen Mark |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Mar 15th, 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 | 1518044528 | NPPES |
| Florida | MEDICAID | 107889600 |
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