Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) | |
Specialist |
174400000X |
| NPI # | 1083789630 |
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| LBN Legal business name | CHILDREN'S HOSPITAL & REGIONAL MEDICAL CENTER 2 | ||||
| Authorized official | KELLY WALLACE - (V.P. AND CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 11/21/2006 | ||||
| Last updated | 05/17/2013 - About 13 years ago | ||||
| Identifiers |
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