Southside Pediatrics Pc
Pediatrics
Southside Pediatrics Pc is a Hastings, Michigan based Pediatric center with medical specialization in
General Pediatrics.
It is located at
300 Meadow Run Dr, Hastings, Michigan - 49058-9048. They can be contacted on phone at
269-818-1020 and fax number 269-818-1266.
NPI number (Unique professional ID) for Southside Pediatrics Pc is
1912252909 which was assigned by NPPES on 17 Jul, 2012 and it was last updated on 20 Dec, 2012.
Southside Pediatrics Pc license number is
4301073703 for Pediatrics (208000000X) in Michigan.
Southside Pediatrics Pc is a pediatrician who 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.
Complete Profile:
Southside Pediatrics Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Southside Pediatrics Pc |
|---|
Business Address:
Southside Pediatrics Pc 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 : | 300 Meadow Run Dr
Hastings, MI, 49058-9048
United States |
|---|
| Phone Number : | 269-818-1020 |
|---|
| Fax Number : | 269-818-1266 |
|---|
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 : | 1912252909 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 17 Jul, 2012 |
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| Last Updated On : | 20 Dec, 2012 |
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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 : | Carrie Wilgus |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER/PHYSICIAN |
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| Phone Number : | 269-818-1020 |
|---|
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 Southside Pediatrics Pc are as mentioned. Primary taxonomy code for Southside Pediatrics Pc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301073703 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Southside Pediatrics Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4123869 | MEDICAID | MI | |
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 : | 300 Meadow Run Dr
Hastings, MI, 49058-9048
United States |
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| Phone Number : | 269-818-1020 |
|---|
| Fax Number : | 269-818-1266 |
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Business Location:
Patients can refer following map for directions to
Southside Pediatrics Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.