Greenville Pediatrics

LBN: Pediatric Rural Health Clinics, Inc
Greenville Pediatrics is an health care organization with primary practice located at 46 L V Stabler Dr , Greenville AL 36037-3804. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is the primary health care specialty. Pediatric Rural Health Clinics, Inc can be contacted via phone (334) 382-9760, or through Keen, Anne via phone (334) 382-9760.

Contact Information

Primary practice address
46 L V Stabler Dr Greenville AL 36037-3804
Phone: (334) 382-9760
Fax: (334) 383-9331
Website:
Map and Directions
Authorized official contact:
Name: Keen, Anne CRNP
Phone: (334) 382-9760

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00006213 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00024891 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00006634 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-065300 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 01-069655 Alabama

Profile Details

NPI number 1992742860
LBN Legal business name Pediatric Rural Health Clinics, Inc
DBA Doing business as Greenville Pediatrics
Authorized official Keen, Anne CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Oct 11th, 2012 - about 13 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 1992742860 NPPES
Alabama MEDICAID 541003905
Alabama MEDICAID 529800610

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