Pediatric Health Group Psc, NPI 1891828604
Clinic/Center in Madisonville, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1891828604
NPI Entity Type Organization
Provider Name Pediatric Health Group Psc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 550 Hospital Drive, Madisonville, KY, US
Provider Mailing Address 550 Hospital Drive, Madisonville, KY, US, 424311652
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Rennan Malazarte Quijano
Official Position PRESIDENT
Phone 270-824-9898

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

261Q00000X

Taxonomy Name Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

Pediatric Health Group Psc
550 Hospital Drive

Madisonville, KY, US

Phone: 270-824-9898
Fax: 270-824-9185

Mailing Address

Pediatric Health Group Psc
550 Hospital Drive
Madisonville, KY, US
ZIP 424311652
Phone: 270-824-9898
Fax: 270-824-9185

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208000000X

Allopathic & Osteopathic Physicians

Pediatrics

No

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PA-C Brittney R. Judhan

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MD Brett E Jarrell

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DO John M Fleming

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