Organization
CLEVELAND CHILDREN'S CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE BREVIL ED.D. (EXECUTIVE DIRECTOR)
(662) 579-3449
Entity
Organization
Contact information
Practice address
818 E SUNFLOWER RD, CLEVELAND, MS 38732-2824
(662) 579-3449
(662) 579-3459
Mailing address
PO BOX 60, CLEVELAND, MS 38732-0060
(662) 579-3449
(662) 579-3469
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
23162
MS
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00325056
—
MS
Enumeration date
04/04/2016
Last updated
07/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us