Children'S Clinic in Poplar Bluff - Pediatrics

Children'S Clinic - NPI 1609037381

Children'S Clinic is a Pediatrics in Poplar Bluff, Missouri. Children'S Clinic practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Children'S Clinic is 1609037381. The last update date is 2008-06-24.

Children'S Clinic's current location address is 2500 Lucy Lee Pkwy, Poplar Bluff, Missouri. You can contact this provider via phone number 5736862585. The mailing address for Children'S Clinic is 2500 Lucy Lee Pkwy, Poplar Bluff, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Children'S Clinic
Address 2500 Lucy Lee Pkwy, Poplar Bluff, Missouri
Phone Number 5736862585
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHYS
Authorized Official Name Suvan Rangsan
Credentials M.D.
Telephone Number 5736862585

NPI Number Detail

NPI Number 1609037381
Provider Enumeration Date 2008-06-24
Last Updated Date 2008-06-24

Provider Mailing Address Detail

Address 2500 Lucy Lee Pkwy
City Poplar Bluff
State Missouri (MO)
Post Code 639012436
Phone Number 5736862585
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
131252002 AR ARKANSAS GROUP MEDICAID

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FAQs about Children'S Clinic

What is the unique identifier code issued to Children'S Clinic by the Centers for Medicare & Medicaid Services?

The Children'S Clinic has been assigned the NPI (National Provider Identifier) 1609037381. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Children'S Clinic's physical address?

The Children'S Clinic is physically located at 2500 Lucy Lee Pkwy, in the city of Poplar Bluff, MO, with the postal code 639012436.

What is Children'S Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Children'S Clinic is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

When did the Children'S Clinic receive its 1609037381?

The Children'S Clinic was issued its 1609037381 on 2008-06-24, which is the date when the organization was assigned this unique identifier.

When was the information related to Children'S Clinic most recently updated or refreshed?

The details pertaining to the Children'S Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-24.

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