Pediatric Center, Pc

LBN: Pediatric Center, Pc
Pediatric Center, Pc is an health care organization with primary practice located at 411 10Th Street Se Suite 150, Cedar Rapids IA 52403. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Center, Pc can be contacted via phone (319) 363-3600, or through Mcdermott, Linda M. via phone (319) 363-3600.

Contact Information

Primary practice address
411 10Th Street Se Suite 150 Cedar Rapids IA 52403
Phone: (319) 363-3600
Fax: (319) 363-9971
Website:
Map and Directions
Authorized official contact:
Name: Mcdermott, Linda M.
Phone: (319) 363-3600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1760487854
LBN Legal business name Pediatric Center, Pc
DBA Doing business as
Authorized official Mcdermott, Linda M.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 11th, 2015 - about 10 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 1760487854 NPPES
Iowa MEDICAID 0137885
Iowa MEDICAID 2016428
Iowa MEDICAID 1053173
Iowa MEDICAID 1088492
Iowa MEDICAID 0171215

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