Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI # | 1841258589 |
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| LBN Legal business name | CRIPPLED CHILDREN'S HOSPITAL | ||||||||||||||||||||
| Authorized official | LESLIE WYATT - (PRESIDENT/CEO) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 05/03/2006 | ||||||||||||||||||||
| Last updated | 05/26/2009 - About 17 years ago | ||||||||||||||||||||
| Identifiers |
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