National Provider Identifier Database

CHILDRENS HOSPITAL OF PHILADELPHIA
Children


Contact Information

CHILDRENS HOSPITAL OF PHILADELPHIA
34TH AND CIVIC CENTER BLVD
PARC BUSINESS SVCS
PHILADELPHIA, PA19104-4306
Phone: 267-426-5722
Fax: 267-426-7138
Website:
Specialty Taxonomy Code
* Children 282NC2000X
Children 283XC2000X
Clinic/Center 261Q00000X
End-Stage Renal Disease (ESRD) Treatment 261QE0700X
General Acute Care Hospital 282N00000X

* Indicates primary specialty

NPI Profile & details for CHILDRENS HOSPITAL OF PHILADELPHIA

NPI Number 1215921457
Legal business name
LBN
CHILDRENS HOSPITAL OF PHILADELPHIA
Authorized official DIERDRA YOUNG - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/02/2005
Last updated 06/13/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 0052815201
  • PA Medicaid: 0052815202
  • PA Medicaid: 01000275400
  • PA Medicaid: 1007709910056
  • PA Medicaid: 1007709910059
  • PA Medicaid: 1007709910078
  • PA Medicaid: 4204301
  • PA Other: 0001426 AETNA/US HEALTHCARE
  • PA Other: P000851 CHAMPUS
  • PA Other: 505533072 CIGNA
  • PA Other: 393303 HORIZON BLUE CROSS
  • PA Other: 0001006000 IBC
  • PA Other: 393303 KEYSTONE HEALTH PLAN EAST

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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