Children'S Clinic, P.A. in Pine Bluff - Adolescent Medicine
Children'S Clinic, P.A. - NPI 1255395950
Children'S Clinic, P.A. is a Adolescent Medicine in Pine Bluff, Arkansas. Children'S Clinic, P.A. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Children'S Clinic, P.A. is 1255395950. The last update date is 2020-08-22.
Children'S Clinic, P.A.'s current location address is 1420 W 43rd Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705346210 and fax number 8705348620. The mailing address for Children'S Clinic, P.A. is 1420 W 43rd Ave, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Children'S Clinic, P.A. |
|---|---|
| Address | 1420 W 43rd Ave, Pine Bluff, Arkansas |
| Phone Number | 8705346210 |
| Fax Number | 8705348620 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Green L Horace |
| Credentials | M.D. |
| Telephone Number | 8705346210 |
NPI Number Detail
| NPI Number | 1255395950 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1420 W 43rd Ave |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716037010 |
| Phone Number | 8705346210 |
| Fax Number | 8705348620 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 56703 | ARKANSAS BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Children'S Clinic, P.A. by the Centers for Medicare & Medicaid Services (CMS)?
The Children'S Clinic, P.A. has been assigned the NPI (National Provider Identifier) 1255395950. 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 Children'S Clinic, P.A.?
The Children'S Clinic, P.A. is physically situated at 1420 W 43Rd Ave, in the city of Pine Bluff, state of AR, with the postal code 716037010.
What is Children'S Clinic, P.A.'s area of expertise and its corresponding taxonomy classification?
The Children'S Clinic, P.A.'s field of specialization is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Children'S Clinic, P.A. receive the assignment of its 1255395950 from the Centers for Medicare & Medicaid Services?
The Children'S Clinic, P.A. was issued its 1255395950 by the Centers for Medicare & Medicaid Services on 2006-04-12.
As of what date were the details pertaining to Children'S Clinic, P.A. last refreshed?
The information related to the Children'S Clinic, P.A., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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