Bay Pediatric Clinic

LBN: Bay Pediatric Clinic
Bay Pediatric Clinic is an health care organization with primary practice located at 2110 16Th St , Bay City MI 48708-7609. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bay Pediatric Clinic can be contacted via phone (989) 892-2517, or through Monville, Lois Marie via phone (989) 892-2517.

Contact Information

Primary practice address
2110 16Th St Bay City MI 48708-7609
Phone: (989) 892-2517
Fax: (989) 892-4860
Website:
Map and Directions
Authorized official contact:
Name: Monville, Lois Marie
Phone: (989) 892-2517

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1326101205
LBN Legal business name Bay Pediatric Clinic
DBA Doing business as
Authorized official Monville, Lois Marie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326101205 NPPES
Michigan Other 350Z96028 BLUE CROSS

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