Childrens Clinic, P.A.

LBN: Childrens Clinic, P.A.
Childrens Clinic, P.A. is an health care organization with primary practice located at 3917 West Rd Suite 128, Los Alamos NM 87544-2275. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Childrens Clinic, P.A. can be contacted via phone (505) 662-4234, or through Nichols, Michael W via phone (505) 662-4234.

Contact Information

Primary practice address
3917 West Rd Suite 128 Los Alamos NM 87544-2275
Phone: (505) 662-4234
Fax: (505) 662-7894
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Michael W Doctor of Medicine (MD)
Phone: (505) 662-4234

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1679793277
LBN Legal business name Childrens Clinic, P.A.
DBA Doing business as
Authorized official Nichols, Michael W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
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 1679793277 NPPES
New Mexico MEDICAID 51342

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