Childen'S Community Care
Organization Active NPI Pediatrics Physician · Slippery Rock, PA
NPI 1154849461 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1154849461
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- CHILDEN'S COMMUNITY CARE
- Practice address
- 202 Spruce Dr
Slippery Rock, PA 16057-1412 - Phone
- (724) 794-4999
- Fax
- (724) 794-1606
- NPI assigned
- Sep 7, 2017
- Organization subpart
- No
Authorized official
- Name
- Lori Martinez
- Title
- Executive Administrator III
- Phone
- (724) 933-1100
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Children'S Community Pediatrics
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
202 Spruce Dr
Slippery Rock, PA 16057-1412
Mailing address
103 Bradford Rd Ste 200
Wexford, PA 15090-6910
Phone (724) 933-1100
Other names
- Children's Community Pediatrics
Other providers in Slippery Rock, PA
- Paul Andrew Cacolice
- Linda L Campbell
- Celestin Mindcare PLLC
- Teresa Lynn Celestin
- Charles R Nebel DC PC
- Trina Gabriela Cicco
- Joseph Cintavey
- Click Chiropractic PLLC
- Danielle Collier
- Shelby Marie Collier
All providers in Slippery Rock, PA · Pediatrics Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2023. 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.