Pavilion Pediatrics, Llc
LBN: Pavilion Pediatrics, Llc
Pavilion Pediatrics, Llc is an health care organization with primary practice located at 2525 W University Ave Suite 404, Muncie IN 47303-3421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as the primary health care specialty.
Pavilion Pediatrics, Llc can be contacted via phone (765) 289-2616, or through Christian, Lois A via phone (765) 289-2616.
Contact Information
Primary practice address
2525 W University Ave Suite 404
Muncie IN 47303-3421
Phone: (765) 289-2616
Fax: (765) 741-3934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2080H0002X | 01040631A | Indiana |
Profile Details
| NPI number | 1831308188 |
|---|---|
| LBN Legal business name | Pavilion Pediatrics, Llc |
| DBA Doing business as | |
| Authorized official | Christian, Lois A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jun 29th, 2011 - about 14 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 | 1831308188 | NPPES |
| Indiana | MEDICAID | 100105670 | |
| Indiana | MEDICAID | 100362560 | |
| Indiana | MEDICAID | 200465180 | |
| Indiana | MEDICAID | 200465710 | |
| Indiana | MEDICAID | 200060380 |
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