MEDICARE: CHILDREN'S INTERNATIONAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1922543446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S INTERNATIONAL, LLC

Provider Business Mailing Address
First Line	:	59101 AMBER ST
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70461-3708
Country	:	US
Telephone Number	:	985-646-1580
Fax Number	:	985-646-1579

Provider Business Practice Location Address
First Line	:	702 S 1ST ST
Second Line	:
City	:	AMITE
State	:	LA
Zip	:	70422-3404
Country	:	US
Telephone Number	:	985-247-2411
Fax Number	:	844-856-3736

Authorized Official
Title or Position	:	DIRECTOR OF MEDICAL STAFF AFFAIRS
Name	:	MRS. LINDSEY THOMAS ZIERHUT
Credential	:
Telephone Number	:	985-646-1580

Provider Enumeration Date	:	12/20/2016
Last Update Date	:	02/28/2024

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Directions to “CHILDREN'S INTERNATIONAL, LLC ” Practice Location

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