Pediatric Place, Llc

LBN: Pediatric Place, Llc
Pediatric Place, Llc is an health care organization with primary practice located at 210 S 2Nd St Ste A , Clinton MO 64735-2172. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Pediatric Place, Llc can be contacted via phone (660) 885-2394, or through Rathert, Carmen L via phone (660) 885-2394.

Contact Information

Primary practice address
210 S 2Nd St Ste A Clinton MO 64735-2172
Phone: (660) 885-2394
Fax: (660) 383-1650
Website:
Map and Directions
Authorized official contact:
Name: Rathert, Carmen L SLP
Phone: (660) 885-2394

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1437819364
LBN Legal business name Pediatric Place, Llc
DBA Doing business as
Authorized official Rathert, Carmen L SLP
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 20th, 2021
Last updated Dec 20th, 2021 - about 4 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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