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Contact Information

CCH PEDIATRIC CLINIC PC
4508 38TH ST
STE 165
COLUMBUS, NE68601
 Phone: 402-564-7200
 Fax: 402-564-7210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CCH PEDIATRIC CLINIC PC

NPI # 1033126107
LBN Legal business name CCH PEDIATRIC CLINIC PC
Authorized official KIMBERLY ALLEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NE Medicaid 10025279800
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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