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Contact Information

KIDSPEACE CHILDREN'S HOSPITAL, INC.
451 W. CHEW ST.
SUITE 105
ALLENTOWN, PA18102
 Phone: 610-776-5465
 Fax: 610-663-3270
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent and Children Mental Health

261QM0855X
Indicates primary specialty

NPI Profile & details for KIDSPEACE CHILDREN'S HOSPITAL, INC.

NPI Number 1740688423
LBN Legal business name KIDSPEACE CHILDREN'S HOSPITAL, INC.
Authorized official MICHAEL SLACK - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/12/2014
Last updated 03/06/2019 - About 7 years ago
Identifiers
PA License # 218750
PA Medicaid 100728370-0016
PA Medicaid 1007283700027
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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