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PEDIATRIC PARTNERSHIP NPI 1629266812


NPI Information

NPI: 1629266812
Provider Name: PEDIATRIC PARTNERSHIP
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
100 CONCOURSE BLVD
SUITE 111
GLEN ALLEN, VA
ZIP 23059
Phone: (804) 377-8981
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PEDIATRIC PARTNERSHIP is a point of service in Glen Allen, VA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PEDIATRIC PARTNERSHIP NPI is 1629266812. The provider is registered as an organization entity type.

The provider's business location address is:

100 CONCOURSE BLVD
SUITE 111
GLEN ALLEN, VA
ZIP 23059-642
Phone: (804) 377-8981
Fax: (804) 377-8984

The provider's authorized official is Jill E Ryland .
The authorized official title is Owner and has the following contact phone number (804) 377-8981.

The enumeration date for this NPI number is 10/12/2007 and was last updated on 10/12/2007.


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
1305S00000XPoint of ServiceVIRGINIAYes

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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