| Organization Name: | CARTHAGE CHILDREN'S CLINIC, LLC |
| NPI Number: | 1073916623 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE M HAMAR (OWNER) |
| Mailing Address: | 1221 Oak St Carthage |
| State: | MO US |
| Postal Code: | 648362028 |
| Phone Number: | 4173599291 |
| Fax Number: | 4173599241 |
| NPI Enumeration Date: | 09/26/2014 |
| NPI Last Update Date: | 09/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | R7F62 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |