| Kidspeace Childrens Hospital | |
|
801 E Green St Allentown PA 18109-1825 | |
| (800) 854-3123 | |
| (610) 799-8318 |
| Full Name | Kidspeace Childrens Hospital |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 801 E Green St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Michael W Slack (PRESIDENT & CEO) |
| Authorized Official Contact | 6107998405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace Childrens Hospital 4085 Independence Dr Schnecksville PA 18078-2574 Ph: (800) 854-3123 | Kidspeace Childrens Hospital 801 E Green St Allentown PA 18109-1825 Ph: (800) 854-3123 |
| NPI Number | 1245365261 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245365261 | NPI | - | NPPES |
| 1007283700016 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 218750 (Pennsylvania) | Primary |
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