ANGEL KIDS PA – NPI #1124162854
Clinic/Center
ANGEL KIDS PA is an AHC clinic located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1124162854 to ANGEL KIDS PA on February 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care
The NPI profile was previously updated about 11 years ago on Jul 28, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGEL KIDS PA below.
NPI Profile for
ANGEL KIDS PA
(more than 19 years ago)
SUITE 209
JACKSONVILLE, FL 32258 Phone: (904) 242-4220 Fax: (904) 674-2313
SUITE 209
JACKSONVILLE, FL 32258 Phone: (904) 242-4220 Fax: (904) 674-2313
PRESIDENT
Phone: (904) 242-4220
Identifiers for ANGEL KIDS PA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | FL | 270166900 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QP2300X - Clinic/Center / Primary Care (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.