NPIMap

Organization Active NPI

Children's International, LLC

  • Rural Health Clinic/Center
  • Morton, MS
National Provider Identifier
1902358336
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHILDREN'S INTERNATIONAL, LLC
Practice address
3016 Highway 80
Morton, MS 39117-9393
Phone
(601) 732-2382
Fax
(601) 732-2384
NPI assigned
Nov 2, 2016
Last updated
Nov 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eduardo Hernandez, MD
Title
Ceo/MD
Phone
(985) 646-1580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

3016 Highway 80
Morton, MS 39117-9393

Mailing address

59101 Amber St
Slidell, LA 70461-3708
Phone (985) 646-1580

Other identifiers 1

IdentifierTypeStateIssuer
09015381MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Children's International LLC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

3016 Highway 80
Morton, MS 39117
Phone (601) 732-2382

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1902358336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59101 AMBER ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704613708",
            "telephone_number": "985-646-1580",
            "fax_number": "985-646-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 HIGHWAY 80",
            "city": "MORTON",
            "state": "MS",
            "postal_code": "391179393",
            "telephone_number": "601-732-2382",
            "fax_number": "601-732-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S INTERNATIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "CEO/MD",
        "authorized_official_telephone_number": "985-646-1580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015381",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.