Provider Demographics
NPI:1104062876
Name:BILGI CHILDRENS CLINIC
Entity type:Organization
Organization Name:BILGI CHILDRENS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:JAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BILGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-964-7117
Mailing Address - Street 1:2201 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-2484
Mailing Address - Country:US
Mailing Address - Phone:515-964-7117
Mailing Address - Fax:515-964-0660
Practice Address - Street 1:2201 W 1ST ST
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-2484
Practice Address - Country:US
Practice Address - Phone:515-964-7117
Practice Address - Fax:515-964-0660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20835261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty