Prairie Pediatrics & Adolescent Clinic, Pc

LBN: Prairie Pediatrics, Pc
Prairie Pediatrics & Adolescent Clinic, Pc is an health care organization with primary practice located at 1125 Pierce St , Sioux City IA 51105-1485. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Prairie Pediatrics, Pc can be contacted via phone (712) 255-8901, or through Olsen, Melanie via phone (712) 255-8901.

Contact Information

Primary practice address
1125 Pierce St Sioux City IA 51105-1485
Phone: (712) 255-8901
Fax: (712) 255-9161
Website:
Map and Directions
Authorized official contact:
Name: Olsen, Melanie
Phone: (712) 255-8901

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1306920319
LBN Legal business name Prairie Pediatrics, Pc
DBA Doing business as Prairie Pediatrics & Adolescent Clinic, Pc
Authorized official Olsen, Melanie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Jan 27th, 2015 - about 11 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 1306920319 NPPES
Iowa Other 51104A001 TRICARE ENTITY ID

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