Carthage Children'S Clinic, LLC
Organization Active NPI Pediatric Adolescent Medicine Physician · Carthage, MO
NPI 1073916623 · NPPES record last updated Sep 26, 2014
Key facts
- NPI
- 1073916623
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Adolescent Medicine Physician 2080A0000X
- License
- R7F62 (MO)
- Legal business name
- CARTHAGE CHILDREN'S CLINIC, LLC
- Practice address
- 1221 Oak St
Carthage, MO 64836-2028 - Phone
- (417) 359-9291
- Fax
- (417) 359-9241
- NPI assigned
- Sep 26, 2014
- Organization subpart
- No
Authorized official
- Name
- Denise M Hamar, D.O.
- Title
- Owner
- Phone
- (417) 359-9291
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Carthage Children'S Clinic LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician |
2080A0000X | R7F62 | MO | Yes |
Addresses
Primary practice location
1221 Oak St
Carthage, MO 64836-2028
Mailing address
1221 Oak St
Carthage, MO 64836-2028
Phone (417) 359-9291
Other providers in Carthage, MO
- John Burnsed
- Bykota Church Ministries
- Michele L Callahan
- Crystal Campbell
- Carthage Anesthesia Inc
- Carthage Counseling
- Carthage Counseling LLC
- Carthage Dental Associates LLC
- Carthage Emergency Physicians LLC
- Carthage Eye Care PC
All providers in Carthage, MO · Pediatric Adolescent Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.