Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI # | 1306983895 |
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| LBN Legal business name | CRIPPLED CHILDREN'S HOSPITAL | ||||||||
| Authorized official | SAMUEL WEIDMAN - (VICE PRESIDENT & CFO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/31/2007 | ||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||
| Identifiers |
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