KIDS KLINIC LLC (NPI# 1215277652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215277652 |
| Entity Type | Organization |
| Organization Name | KIDS KLINIC LLC |
| Practice Address |
200 Country Club Rd Carriere MS 39426-9037 |
| Practice Telephone | 6017994777 |
| Mailing Telephone | 6017994777 |
| Mailing Fax Number | 6017498818 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2015-12-03 |
| Authorized Official Name | DR. AHMAD HAIDAR (OWNER) |
| Authorized Official Telephone | 6017994777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
13678 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00112453 | 05 |
| Street Address |
200 COUNTRY CLUB RD |
| City | CARRIERE |
| State | MS |
| Zip Code | 39426-9037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407837503 | Ahmad A Haidar | Internal Medicine | 200 Country Club Rd, Carriere, MS 39426-9037 | 2005-11-07 |
| 1285108662 | Sara A Duncan | Family Medicine | 200 Country Club Rd, Carriere, MS 39426 | 2019-01-18 |
| 1326584822 | Jonathan Trahan | Nurse Practitioner | 200 Country Club Rd, Carriere, MS 39426-9037 | 2017-01-09 |
| 1891150629 | Picayune Pediatrics LLC | Preferred Provider Organization | 200 Country Club Rd, Carriere, MS 39426-9037 | 2015-12-21 |
| 1619008174 | Forrest County General Hospital | Internal Medicine | 200 Country Club Rd, Carriere, MS 39426 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689866477 | Lambert Dental PC | Dentist | 6480 Hwy 11 North, Carriere, MS 39426 | 2007-08-15 |
| 1427115641 | Aquatic Therapy Services, LLC | Clinic/Center | 10 Carrie Mitchell Rd, Carriere, MS 39426 | 2007-01-03 |
| 1679035273 | Align Health LLC | Non-emergency Medical Transport (VAN) | 74 Pops Rdg, Carriere, MS 39426-5142 | 2019-04-02 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1235200304 | John W Houston | Physical Therapist | 48 Camellia Rd, Carriere, MS 39426-7077 | 2006-11-12 |
| 1093927220 | Devereux and Nguyen LLC | Dentist | 6420 Highway 11, Suite C, Carriere, MS 39426-7145 | 2007-05-03 |
| 1790274603 | Gregory Goggans, D.m.d., P.C. | Dentist | 6420 Highway 11 N Ste C, Carriere, MS 39426-7146 | 2018-05-07 |
| 1407358146 | Melissa Loewen | Specialist/Technologist | 7407 Highway 11, Carriere, MS 39426-7484 | 2018-03-07 |
| 1679882690 | Ronald William Buie | Acupuncturist | 6682 Highway 11, Suite 103, Carriere, MS 39426-7554 | 2010-09-27 |
| 1386701944 | Debbie L Moore | Chiropractor | 6682 Highway 11 N, Suite 103, Carriere, MS 39426-7554 | 2007-01-03 |
| Find all providers in zip 39426 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.