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Contact Information

CHILDREN'S HEART CARE CLINIC LLC
14328 WATERWAY BLVD
FORTVILLE, IN46040-9455
 Phone: 646-234-8354
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHILDREN'S HEART CARE CLINIC LLC

NPI # 1114257052
LBN Legal business name CHILDREN'S HEART CARE CLINIC LLC
Authorized official STEVEN TODMAN - (EVP AND CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/26/2009
Last updated 02/15/2011 - About 15 years ago
Identifiers
IN License # 01063650A
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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