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Contact Information

PRAIRIE PEDIATRICS, PC
1125 PIERCE ST
SIOUX CITY, IA51105-1485
 Phone: 712-255-8901
 Fax: 712-255-9161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PRAIRIE PEDIATRICS, PC

NPI Number 1306920319
LBN Legal business name PRAIRIE PEDIATRICS, PC
Authorized official MELANIE OLSEN - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 01/27/2015 - About 11 years ago
Identifiers
IA Other 51104A001 TRICARE ENTITY ID
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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