| Kidspeace Children's Hospital, Inc. | |
|
1620 Broadway Bethlehem PA 18015-3904 | |
| (610) 799-8222 | |
| (610) 867-2233 |
| Full Name | Kidspeace Children's Hospital, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1620 Broadway, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Michael Slack (CEO) |
| Authorized Official Contact | 6107998405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace Children's Hospital, Inc. 4085 Independence Dr Schnecksville PA 18078 Ph: (800) 854-3123 | Kidspeace Children's Hospital, Inc. 1620 Broadway Bethlehem PA 18015-3904 Ph: (610) 799-8222 |
| NPI Number | 1124163910 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124163910 | NPI | - | NPPES |
| 100728370-0042 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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