| Children's International, LLC | |
|
2561 Pass Rd Biloxi MS 39531-2125 | |
| (228) 400-0098 | |
| (833) 915-0148 |
| Full Name | Children's International, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2561 Pass Rd, Biloxi, Mississippi |
| Authorized Official Name and Position | Eduardo Hernandez (CEO) |
| Authorized Official Contact | 9856461580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's International, LLC 59101 Amber St Slidell LA 70461-3708 Ph: (985) 646-1580 | Children's International, LLC 2561 Pass Rd Biloxi MS 39531-2125 Ph: (228) 400-0098 |
| NPI Number | 1164030979 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 07/17/2020 |
| Certification Date | 07/17/2020 |
| Medicare PECOS PAC ID | 1254633308 |
|---|---|
| Medicare Enrollment ID | O20200908001699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164030979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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