Capital City Children And Adolescent Clinic in Jackson - Pediatrics
Capital City Children And Adolescent Clinic - NPI 1912088790
Capital City Children And Adolescent Clinic is a Pediatrics in Jackson, Mississippi. Capital City Children And Adolescent Clinic practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Capital City Children And Adolescent Clinic is 1912088790. The last update date is 2020-08-22.
Capital City Children And Adolescent Clinic's current location address is 2679 Crane Ridge Dr, Jackson, Mississippi. You can contact this provider via phone number 6013627476. The mailing address for Capital City Children And Adolescent Clinic is 2679 Crane Ridge Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Capital City Children And Adolescent Clinic |
|---|---|
| Address | 2679 Crane Ridge Dr, Jackson, Mississippi |
| Phone Number | 6013627476 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Chaney Geraldine |
| Telephone Number | 6013627476 |
NPI Number Detail
| NPI Number | 1912088790 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2679 Crane Ridge Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164997 |
| Phone Number | 6013627476 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9016857 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Capital City Children And Adolescent Clinic by the Centers for Medicare & Medicaid Services?
The Capital City Children And Adolescent Clinic has been assigned the NPI (National Provider Identifier) 1912088790 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Capital City Children And Adolescent Clinic's facilities are situated?
The facilities of Capital City Children And Adolescent Clinic are physically located at the following address: 2679 Crane Ridge Dr, Jackson, MS, 392164997.
What is Capital City Children And Adolescent Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Capital City Children And Adolescent Clinic is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Capital City Children And Adolescent Clinic receive the assignment of its 1912088790 from the Centers for Medicare & Medicaid Services?
The Capital City Children And Adolescent Clinic was issued its 1912088790 by the Centers for Medicare & Medicaid Services on 2006-10-18.
When was the information regarding Capital City Children And Adolescent Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Capital City Children And Adolescent Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.