The Pediatric Place

LBN: The Pediatric Place
The Pediatric Place is an health care organization with primary practice located at 1236 Bond Ave Ste B , Rexburg ID 83440-3503. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. The Pediatric Place can be contacted via phone (208) 701-0277, or through Collard, Abram via phone (208) 701-0277.

Contact Information

Primary practice address
1236 Bond Ave Ste B Rexburg ID 83440-3503
Phone: (208) 701-0277
Fax: (208) 701-0294
Website:
Map and Directions
Authorized official contact:
Name: Collard, Abram Doctor of Osteopathy (DO)
Phone: (208) 701-0277

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1801350590
LBN Legal business name The Pediatric Place
DBA Doing business as
Authorized official Collard, Abram Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2019
Last updated Nov 8th, 2021 - about 5 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 1801350590 NPPES
Idaho MEDICAID 1801350590

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