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Contact Information

CHILDREN'S CLINIC LTD
23 MANHATTAN SQUARE
HAMPTON, VA23666
 Phone: 757-595-0358
 Fax: 757-595-6745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHILDREN'S CLINIC LTD

NPI # 1306941505
LBN Legal business name CHILDREN'S CLINIC LTD
Authorized official JULIAN BLALOCK JR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2006
Last updated 08/28/2024 - More than a year ago
Identifiers
VA License # 0101035213
VA Medicaid 006703828
VA Medicaid 006716962
VA Medicaid 006729932
VA Medicaid 006769187
VA Medicaid 006797059
VA Medicaid 010043859
VA Other 1104821339 NPI NUMBER
VA Other 1316942550 NPI NUMBER
VA Other 1467457697 NPI NUMBER
VA Other 1619972833 NPI NUMBER
VA Other 1639174436 NPI NUMBER
VA Other 1699770826 NPI NUMBER
VA Other 1891790028 NPI NUMBER
VA Other 1972508778 NPI NUMBER
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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