National Provider Identifier Database

LUCILE SALTER PACKARD CHILDRENS HOSPITAL AT STANFORD
Children

Contact Information

LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
725 WELCH RD
MAIL CODE 5500
PALO ALTO, CA  94304-1601
Phone: 650-497-8565
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X
Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD

NPI Number 1467442749
Legal business name
LBN		 LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
Authorized official TIMOTHY CARMACK - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 10/26/2005
Last updated 12/24/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AK Medicaid: HS966
  • AL Medicaid: LUC3305N
  • AZ Medicaid: 355075
  • CA Medicaid: HSC11103G
  • CA Medicaid: HSP41103G
  • CA Medicaid: ZZR11103G
  • CO Medicaid: 95018255
  • FL Medicaid: 912214100
  • GA Medicaid: 00977963X
  • HI Medicaid: 54281201
  • ID Medicaid: 002182000
  • KS Medicaid: 100105870A
  • KY Medicaid: 0 1241116
  • LA Medicaid: 1700479
  • MT Medicaid: 0 410737
  • NM Medicaid: A5935
  • NV Medicaid: 00 1189126
  • CA Other: ZZZB4301Z BLUE SHIELD

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.

Reviews for LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD

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