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LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD

Children

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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 Specialty Code Provider Type

Children

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

Ambulatory Surgical

 261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

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

NPI Number 1467442749
LBN Legal business name LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
Authorized official TIMOTHY CARMACK - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2005
Last updated 12/24/2024 - More than a year ago
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 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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