Community Pediatrics Sc in Beaver Dam - Pediatrics
Community Pediatrics Sc - NPI 1275749566
Community Pediatrics Sc is a Pediatrics in Beaver Dam, Wisconsin. Community Pediatrics Sc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Community Pediatrics Sc is 1275749566. The last update date is 2010-04-08.
Community Pediatrics Sc's current location address is 109 Warren St Ste 4, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208853305 and fax number 9208855506. The mailing address for Community Pediatrics Sc is 109 Warren St Ste 4, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Community Pediatrics Sc |
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Address | 109 Warren St Ste 4, Beaver Dam, Wisconsin |
Phone Number | 9208853305 |
Fax Number | 9208855506 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ACCOUNT MA |
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Authorized Official Name | Larson Jean Dorothy |
Telephone Number | 9208853305 |
NPI Number Detail
NPI Number | 1275749566 |
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Provider Enumeration Date | 2007-05-15 |
Last Updated Date | 2010-04-08 |
Provider Mailing Address Detail
Address | 109 Warren St Ste 4 |
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City | Beaver Dam |
State | Wisconsin (WI) |
Post Code | 539163082 |
Phone Number | 9208853305 |
Fax Number | 9208855506 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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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 |
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34638800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Community Pediatrics Sc by the Centers for Medicare & Medicaid Services?
The Community Pediatrics Sc has been issued the NPI (National Provider Identifier) 1275749566, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Community Pediatrics Sc's facilities are situated?
The facilities of Community Pediatrics Sc are physically located at the following address: 109 Warren St Ste 4, Beaver Dam, WI, 539163082.
What is the area of specialization for Community Pediatrics Sc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Community Pediatrics Sc is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Community Pediatrics Sc receive its 1275749566 assignment from the Centers for Medicare & Medicaid Services?
The Community Pediatrics Sc was assigned its 1275749566 by the Centers for Medicare & Medicaid Services on 2007-05-15.
As of what date was the information regarding Community Pediatrics Sc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Community Pediatrics Sc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-04-08.