Ccpartners Llc
Pediatric Adolescent Medicine
Ccpartners Llc is a Festus, Missouri based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Ccpartners Llc is doing business as
Kidz Biz Pediatrics.
It is located at
35 Goodwin Dr, Festus, Missouri - 63028-4122. They can be contacted on phone at
636-933-4141 and fax number 636-931-7007.
NPI number (Unique professional ID) for Ccpartners Llc is
1487857033 which was assigned by NPPES on 08 Jun, 2007 and it was last updated on 07 Feb, 2014.
Ccpartners Llc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Ccpartners Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Ccpartners Llc |
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| Other Name : | Kidz Biz Pediatrics |
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Business Address:
Ccpartners Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 35 Goodwin Dr
Festus, MO, 63028-4122
United States |
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| Phone Number : | 636-933-4141 |
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| Fax Number : | 636-931-7007 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487857033 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 08 Jun, 2007 |
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| Last Updated On : | 07 Feb, 2014 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Joshuapaul Boldt |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PHYSICIAN/PARTNER |
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| Phone Number : | 636-933-4141 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ccpartners Llc are as mentioned. Primary taxonomy code for Ccpartners Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Ccpartners Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 36393 | Other | MO | HEALTHCARE USA |
| 0191 | Other | MO | MERCY CARE PLUS |
| 507593903 | MEDICAID | MO | |
| 100301 | Other | MO | GROUP HEALTH PLAN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 35 Goodwin Dr
Festus, MO, 63028-4122
United States |
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| Phone Number : | 636-933-4141 |
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| Fax Number : | 636-931-7007 |
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Business Location:
Patients can refer following map for directions to
Ccpartners Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.