Organization
CHILDREN'S INTERNATIONAL, LLC
Active
Other names
Children's International Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH HAYS ALLEN (VP)
(985) 646-1580
Entity
Organization
Contact information
Practice address
1828 W THOMAS ST, HAMMOND, LA 70401-2958
(985) 419-2250
(985) 419-2252
Mailing address
59101 AMBER ST, SLIDELL, LA 70461-3708
(985) 646-1580
(888) 863-4274
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020303
—
LA
Enumeration date
03/19/2018
Last updated
03/19/2018
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