Child & Adolescent Clinic, Ps in Longview - Pediatrics
Child & Adolescent Clinic, Ps - NPI 1144275777
Child & Adolescent Clinic, Ps is a Pediatrics in Longview, Washington. Child & Adolescent Clinic, Ps practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Child & Adolescent Clinic, Ps is 1144275777. The last update date is 2018-07-24.
Child & Adolescent Clinic, Ps's current location address is 971 11th Ave, Longview, Washington. You can contact this provider via phone number 3605771771 and fax number 3604231405. The mailing address for Child & Adolescent Clinic, Ps is 971 11th Ave, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Child & Adolescent Clinic, Ps |
|---|---|
| Address | 971 11th Ave, Longview, Washington |
| Phone Number | 3605771771 |
| Fax Number | 3604231405 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Cavens Phyllis |
| Credentials | M.D. |
| Telephone Number | 3605771771 |
NPI Number Detail
| NPI Number | 1144275777 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2018-07-24 |
Provider Mailing Address Detail
| Address | 971 11th Ave |
|---|---|
| City | Longview |
| State | Washington (WA) |
| Post Code | 986322503 |
| Phone Number | 3605771771 |
| Fax Number | 3604231405 |
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7066202 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Child & Adolescent Clinic, Ps by the Centers for Medicare & Medicaid Services (CMS)?
The Child & Adolescent Clinic, Ps has been assigned the NPI (National Provider Identifier) 1144275777. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Child & Adolescent Clinic, Ps?
The Child & Adolescent Clinic, Ps is physically situated at 971 11Th Ave, in the city of Longview, state of WA, with the postal code 986322503.
What is Child & Adolescent Clinic, Ps's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Child & Adolescent Clinic, Ps is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
When did Child & Adolescent Clinic, Ps receive its 1144275777 assignment?
The Child & Adolescent Clinic, Ps was assigned its 1144275777 on 2006-05-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Child & Adolescent Clinic, Ps most recently updated or revised?
The information pertaining to Child & Adolescent Clinic, Ps, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-24.