Pediatric Partnership in Glen Allen - Point Of Service
Pediatric Partnership - NPI 1629266812
Pediatric Partnership is a Point Of Service in Glen Allen, Virginia. Pediatric Partnership practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Pediatric Partnership is 1629266812. The last update date is 2007-10-12.
Pediatric Partnership's current location address is 100 Concourse Blvd, Glen Allen, Virginia. You can contact this provider via phone number 8043778981 and fax number 8043778984. The mailing address for Pediatric Partnership is 100 Concourse Blvd, Glen Allen, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Partnership |
|---|---|
| Address | 100 Concourse Blvd, Glen Allen, Virginia |
| Phone Number | 8043778981 |
| Fax Number | 8043778984 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ryland E Jill |
| Credentials | M.D. |
| Telephone Number | 8043778981 |
NPI Number Detail
| NPI Number | 1629266812 |
|---|---|
| Provider Enumeration Date | 2007-10-12 |
| Last Updated Date | 2007-10-12 |
Provider Mailing Address Detail
| Address | 100 Concourse Blvd |
|---|---|
| City | Glen Allen |
| State | Virginia (VA) |
| Post Code | 230595642 |
| Phone Number | 8043778981 |
| Fax Number | 8043778984 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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What is the Pediatric Partnership's 1629266812?
The Pediatric Partnership's NPI (National Provider Identifier) Number is 1629266812. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pediatric Partnership?
The Pediatric Partnership is physically situated at 100 Concourse Blvd, in the city of Glen Allen, state of VA, with the postal code 230595642.
What is Pediatric Partnership's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pediatric Partnership's specialized field of practice is Point Of Service, and the corresponding taxonomy code that categorizes this area of specialization is 305S00000X.
On what date did the Pediatric Partnership receive its 1629266812 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Partnership was assigned its 1629266812 by the Centers for Medicare & Medicaid Services on 2007-10-12.
When was the information regarding Pediatric Partnership, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pediatric Partnership, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-12.