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Contact Information

PEDIATRIC CARE CENTER PC
100 NEALE ADDRESS
MAHONING MEDICAL CENTER
MARION CENTER, PA15759-0268
 Phone: 724-397-2326
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC CARE CENTER PC

NPI Number 1972691103
LBN Legal business name PEDIATRIC CARE CENTER PC
Authorized official RIZWAN JABIR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PA Other 613096 PA BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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