| Children's International, Llc | |
|
930 Main St Columbia MS 39429-2750 | |
| (985) 646-1580 | |
| (888) 863-4274 |
| Full Name | Children's International, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 930 Main St, Columbia, Mississippi |
| Authorized Official Name and Position | Lindsey Zierhut (DIRECTOR OF MEDICAL STAFF AFFAIRS) |
| Authorized Official Contact | 9856461580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's International, Llc 59101 Amber St Slidell LA 70461-3708 Ph: (985) 646-1580 | Children's International, Llc 930 Main St Columbia MS 39429-2750 Ph: (985) 646-1580 |
| NPI Number | 1164126132 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 1254633308 |
|---|---|
| Medicare Enrollment ID | O20230622000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164126132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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