Children & Adolescent Clinic

Organization Active NPI Pediatrics Physician · Hastings, NE

NPI 1124121066 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1124121066
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
CHILDREN & ADOLESCENT CLINIC
Practice address
2115 N Kansas
Children & Adolescent Clinic PC
Hastings, NE 68901
Phone
(402) 463-6828
NPI assigned
Sep 6, 2006
Organization subpart
No

Authorized official

Name
Ken A Zoucha, MD
Title
MD/Owner
Phone
(402) 463-6828

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Children Adolescent Clinic (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

2115 N Kansas
Children & Adolescent Clinic PC
Hastings, NE 68901

Mailing address

2115 N Kansas
Children & Adolescent Clinic PC
Hastings, NE 68901
Phone (402) 463-6828

Other providers in Hastings, NE

All providers in Hastings, NE · Pediatrics Physician in Nebraska

Sources for this page

Verify at the official NPI Registry.