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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 Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
 

Children

283XC2000X
 

Clinic/Center

261Q00000X
 

End-Stage Renal Disease (ESRD) Treatment

261QE0700X B4[14] End-Stage Renal Disease Facility
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for CHILDRENS HOSPITAL OF PHILADELPHIA

NPI Number 1215921457
LBN Legal business name CHILDRENS HOSPITAL OF PHILADELPHIA
Authorized official DIERDRA YOUNG - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/02/2005
Last updated 06/13/2023 - About 3 years ago
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 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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