<Unavail>

LBN: Pediatria Healthcare, Llc
<Unavail> is an health care organization with primary practice located at 1183 Jacks Run Rd , North Versailles PA 15137-0000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, which is considered as the primary health care specialty. Pediatria Healthcare, Llc can be contacted via phone (412) 349-6708, or through Whiteside, Vicki via phone (770) 248-8740.

Contact Information

Primary practice address
1183 Jacks Run Rd North Versailles PA 15137-0000
Phone: (412) 349-6708
Fax: (412) 349-6716
Website:
Map and Directions
Authorized official contact:
Name: Whiteside, Vicki
Phone: (770) 248-8740

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care 261QM3000X

Profile Details

NPI number 1770927345
LBN Legal business name Pediatria Healthcare, Llc
DBA Doing business as <Unavail>
Authorized official Whiteside, Vicki
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2013
Last updated Nov 30th, 2018 - about 8 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 1770927345 NPPES
Pennsylvania MEDICAID 1021992800016

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