| Childrens Hospital Of The Kings Daughters Inc | |
|
401 Gresham Dr Norfolk VA 23507 | |
| (757) 668-4673 | |
| Not Available |
| Full Name | Childrens Hospital Of The Kings Daughters Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 401 Gresham Dr, Norfolk, Virginia |
| Authorized Official Name and Position | Dennis Ryan (SENIOR VP/CFO) |
| Authorized Official Contact | 7576687065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Hospital Of The Kings Daughters Inc 601 Childrens Ln Norfolk VA 23507-1910 Ph: (757) 668-9647 | Childrens Hospital Of The Kings Daughters Inc 401 Gresham Dr Norfolk VA 23507 Ph: (757) 668-4673 |
| NPI Number | 1669137121 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 11/01/2021 |
| Certification Date | 10/27/2021 |
| Medicare PECOS PAC ID | 0941265284 |
|---|---|
| Medicare Enrollment ID | O20230522003445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669137121 | NPI | - | NPPES |
| 004900961 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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