Cereal City Pediatrics

LBN: Cereal City Pediatrics
Cereal City Pediatrics is an health care organization with primary practice located at 2545 Capital Ave Sw , Battle Creek MI 49015-7120. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Cereal City Pediatrics can be contacted via phone (269) 969-8723, or through Thomas, Diane via phone (269) 969-8723.

Contact Information

Primary practice address
2545 Capital Ave Sw Battle Creek MI 49015-7120
Phone: (269) 969-8723
Fax: (269) 969-8724
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Diane
Phone: (269) 969-8723

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1033155692
LBN Legal business name Cereal City Pediatrics
DBA Doing business as
Authorized official Thomas, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Sep 24th, 2008 - about 18 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 1033155692 NPPES
Michigan Other 350A349860 BLUE CROSS BLUE SHIELD

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