Pony Express Pediatrics, Llc

LBN: Pony Express Pediatrics, Llc
Pony Express Pediatrics, Llc is an health care organization with primary practice located at 1307 Crook Ave , Cheyenne WY 82001-5412. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as the primary health care specialty. Pony Express Pediatrics, Llc can be contacted via phone (321) 313-3595, or through Kovachevich, Christa Jayleen via phone (321) 313-3595.

Contact Information

Primary practice address
1307 Crook Ave Cheyenne WY 82001-5412
Phone: (321) 313-3595
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kovachevich, Christa Jayleen Advanced Practice Registered Nurse (APRN)
Phone: (321) 313-3595

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1265087993
LBN Legal business name Pony Express Pediatrics, Llc
DBA Doing business as
Authorized official Kovachevich, Christa Jayleen Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 8th, 2019
Last updated Aug 8th, 2019 - about 6 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 1265087993 NPPES
Florida MEDICAID 016218600

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