CHILDREN AND TEENAGERS CLINIC – NPI #1558492702
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CHILDREN AND TEENAGERS CLINIC is a provider located in PITTSBURG, KS. NPPES has assigned the NPI number 1558492702 to CHILDREN AND TEENAGERS CLINIC on March 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 10 years ago on Mar 01, 2016. 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 CHILDREN AND TEENAGERS CLINIC below.

NPI Profile for
CHILDREN AND TEENAGERS CLINIC

NPI Number
1558492702
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDREN AND TEENAGERS CLINIC
Primary location
2401 S. TUCKER AVE.
SUITE 4
PITTSBURG, KS 66762
Phone: (620) 231-2490 Fax: (620) 231-3920
Mailing address
2401 S. TUCKER AVE
SUITE 4
PITTSBURG, KS 66762
Phone: (620) 231-2490 Fax: (620) 231-3920
Organization Subpart
No
Authorized Official
AMY DODSON
MANAGER
Phone: (620) 231-2490
Updated
Identifiers

Identifiers for CHILDREN AND TEENAGERS CLINIC

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.

DescriptionIssuerStateIdentifier
MEDICAIDKS100270880A
Taxonomy Code(s)

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
208000000X
- Pediatrics (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.