| Children's International Medical Group | |
|
341 Us 90 Ste A Gautier MS 39553 | |
| (228) 400-0098 | |
| (833) 518-1886 |
| Full Name | Children's International Medical Group |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 341 Us 90, Gautier, Mississippi |
| Authorized Official Name and Position | Lindsey Zierhut (DIRECTOR OF MEDICAL STAFF AFFAIRS) |
| Authorized Official Contact | 9856461580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's International Medical Group 59101 Amber St Slidell LA 70461-3708 Ph: (985) 646-1580 | Children's International Medical Group 341 Us 90 Ste A Gautier MS 39553 Ph: (228) 400-0098 |
| NPI Number | 1720775265 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720775265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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