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Contact Information

KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.
707 N BROADWAY
BALTIMORE, MD21205-1832
 Phone: 443-923-1870
 Fax: 443-923-9405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
 

Children

281PC2000X
 

Children

283XC2000X
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
 

Psychiatric Hospital

283Q00000X A0[7] Hospital-Psychiatric (PPS excluded)
 

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
 

Special Hospital

284300000X A0[7] Hospital-Specialty Hospital (cardiac, orthopedic, surgical)
Indicates primary specialty

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

NPI Number 1619075926
LBN Legal business name KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.
Authorized official LISA BADIE - (AVP, APPLICATION SUPPORT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 01/19/2024 - About 2 years ago
Identifiers
MD License # 30-036
MD License # 30036
MD License # 802
MD Medicaid 955675300
MD Other MD9 BLUE CROSS FEDERAL
MD Other 59351301 BLUE CROSS OF MARYLAND
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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