Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) | |
End-Stage Renal Disease (ESRD) Treatment |
261QE0700X | B4[14] | End-Stage Renal Disease Facility | |
General Acute Care Hospital |
282N00000X | A0[7] | Hospital-General |
| NPI # | 1912939703 |
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| LBN Legal business name | CHILDREN'S HOSPITAL | ||||
| Authorized official | PHILLICIA NELSON - (EXECUTIVE DIRECTOR, PAYOR RELATIONS) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/06/2006 | ||||
| Last updated | 07/14/2023 - About 3 years ago | ||||
| Identifiers |
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