Southern Indiana Pediatrics, Llc

LBN: Southern Indiana Pediatrics, Llc
Southern Indiana Pediatrics, Llc is an health care organization with primary practice located at 350 S Landmark Ave , Bloomington IN 47403-5001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southern Indiana Pediatrics, Llc can be contacted via phone (812) 335-2434, or through Craig, Michael via phone (812) 353-9554.

Contact Information

Primary practice address
350 S Landmark Ave Bloomington IN 47403-5001
Phone: (812) 335-2434
Fax: (812) 335-7604
Website:
Map and Directions
Authorized official contact:
Name: Craig, Michael
Phone: (812) 353-9554

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1417921933
LBN Legal business name Southern Indiana Pediatrics, Llc
DBA Doing business as
Authorized official Craig, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2006
Last updated Feb 15th, 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 1417921933 NPPES
Indiana MEDICAID 200026580

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