Provider Demographics
NPI:1912872136
Name:PEDIATRIC CARE CENTER P C
Entity type:Organization
Organization Name:PEDIATRIC CARE CENTER P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIZWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JABIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-388-3127
Mailing Address - Street 1:PO BOX 268
Mailing Address - Street 2:
Mailing Address - City:MARION CENTER
Mailing Address - State:PA
Mailing Address - Zip Code:15759-0268
Mailing Address - Country:US
Mailing Address - Phone:724-397-2326
Mailing Address - Fax:724-397-2420
Practice Address - Street 1:100 NEAL AVE
Practice Address - Street 2:
Practice Address - City:MARION CENTER
Practice Address - State:PA
Practice Address - Zip Code:15759
Practice Address - Country:US
Practice Address - Phone:724-397-2326
Practice Address - Fax:724-397-2420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health