Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) | |
Primary Care |
261QP2300X |
| NPI Number | 1073470001 |
| LBN Legal business name | CN SHAW METRO |
| Authorized official | PHILLICIA NELSON - (VP PAYOR FINANCIAL RELATIONS) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 01/09/2026 |
| Last updated | 01/12/2026 - About 5 months ago |
| Identifiers | n/a |
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