Pediatric Group

LBN: Upper Valley Professional Corporation
Pediatric Group is an health care organization with primary practice located at 450 N Hyatt St Suite 306, Tipp City OH 45371-1433. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Upper Valley Professional Corporation can be contacted via phone (937) 440-8687, or through Rader, Pamela via phone (937) 440-7454.

Contact Information

Primary practice address
450 N Hyatt St Suite 306 Tipp City OH 45371-1433
Phone: (937) 440-8687
Fax: (937) 773-8058
Website:
Map and Directions
Authorized official contact:
Name: Rader, Pamela
Phone: (937) 440-7454

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Ohio

Profile Details

NPI number 1720170038
LBN Legal business name Upper Valley Professional Corporation
DBA Doing business as Pediatric Group
Authorized official Rader, Pamela
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 20th, 2010 - about 15 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 1720170038 NPPES
Ohio MEDICAID 2616404

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