PEDICARE PEDIATRIC CLINIC PC – NPI #1881700128
Clinic/Center
PEDICARE PEDIATRIC CLINIC PC is an AHC clinic located in WESTLAND, MI. NPPES has assigned the NPI number 1881700128 to PEDICARE PEDIATRIC CLINIC PC on August 21, 2006. 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 18 years ago on Jul 14, 2008. 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 PEDICARE PEDIATRIC CLINIC PC below.
NPI Profile for
PEDICARE PEDIATRIC CLINIC PC
(about 20 years ago)
STE # 401
WESTLAND, MI 48185-7218 Phone: (734) 427-3636 Fax: (734) 427-1483
OWNER
Phone: (734) 427-4067
Identifiers for PEDICARE PEDIATRIC CLINIC PC
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 |
|---|---|---|---|
| OTHER | FEDERAL TAX ID | MI | 383159597 |
| OTHER | LICENSE NO. | MI | VT 006757 |
| MEDICAID | MI | 3025602-11 |
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) |
MI | VT 006757 |
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.