KIDMED INC. NPI 1174042022

NPI Information

NPI: 1174042022
Provider Name: KIDMED INC.

Doing Business As: KIDMED STAFFORD

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 49D2093143

Address:
20 DOC STONE RD
STAFFORD, VA
ZIP 22556
Phone: (804) 647-2240
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KIDMED INC. is an urgent care clinic center in Stafford, VA. KIDMED INC. NPI is 1174042022. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidmed Stafford.

The provider's business location address is:

20 DOC STONE RD
STAFFORD, VA
ZIP 22556-515
Phone: (804) 647-2240

The provider's authorized official is Mark A Flanzenbaum .
The authorized official title is President and has the following contact phone number (804) 592-5437.

The CLIA number assigned to this NPI record is 49D2093143 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/12/2017 and was last updated on 8/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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