Medical Center For Children & Adolescents, Pa
Pediatrics
Medical Center For Children & Adolescents, Pa is a Idaho Falls, Idaho based Pediatric center with medical specialization in
General Pediatrics. Medical Center For Children & Adolescents, Pa is doing business as
The Pediatric Center.
It is located at
3430 Washington Pkwy, Idaho Falls, Idaho - 83404-7579. They can be contacted on phone at
208-523-3060.
NPI number (Unique professional ID) for Medical Center For Children & Adolescents, Pa is
1073528998 which was assigned by NPPES on 29 Jul, 2006 and it was last updated on 22 Aug, 2020.
Medical Center For Children & Adolescents, Pa 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:
Medical Center For Children & Adolescents, Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Medical Center For Children & Adolescents, Pa |
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| Other Name : | The Pediatric Center |
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Business Address:
Medical Center For Children & Adolescents, Pa 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 : | 3430 Washington Pkwy
Idaho Falls, ID, 83404-7579
United States |
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| Phone Number : | 208-523-3060 |
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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 : | 1073528998 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Jul, 2006 |
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| Last Updated On : | 22 Aug, 2020 |
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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 : | Michaeljude Pankau |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 208-523-3060 |
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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 Medical Center For Children & Adolescents, Pa are as mentioned. Primary taxonomy code for Medical Center For Children & Adolescents, Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Medical Center For Children & Adolescents, Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 85456 | Other | ID | BLUE CROSS |
| 000010006561 | Other | ID | BLUE SHIELD |
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 : | 3430 Washington Pkwy
Idaho Falls, ID, 83404-7579
United States |
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| Phone Number : | 208-523-3060 |
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Business Location:
Patients can refer following map for directions to
Medical Center For Children & Adolescents, Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.