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Contact Information

COMPLETE CARE FOR KIDS
14418 FOUNTAIN VIEW DRIVE
MIDLOTHIAN, VA23112
 Phone: 804-370-6524
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COMPLETE CARE FOR KIDS

NPI Number 1598356750
LBN Legal business name COMPLETE CARE FOR KIDS
Authorized official SYLVIA LEE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2021
Last updated 02/02/2021 - About 5 years ago
Identifiers
VA Medicaid 1659385987
VA Medicaid 1932318912
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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