| Childrens Hospital Of Philadelphia | |
|
34th And Civic Center Blvd Parc Business Svcs Philadelphia PA 19104-4306 | |
| (267) 426-5722 | |
| (267) 426-7138 |
| Full Name | Childrens Hospital Of Philadelphia |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 34th And Civic Center Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dierdra Young (DIRECTOR) |
| Authorized Official Contact | 2674265722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Hospital Of Philadelphia 3401 Civic Center Blvd Parc Business Svcs Philadelphia PA 19104-4319 Ph: (267) 426-5722 | Childrens Hospital Of Philadelphia 34th And Civic Center Blvd Parc Business Svcs Philadelphia PA 19104-4306 Ph: (267) 426-5722 |
| NPI Number | 1215921457 |
|---|---|
| Provider Enumeration Date | 09/02/2005 |
| Last Update Date | 06/13/2023 |
| Medicare PECOS PAC ID | 1254324122 |
|---|---|
| Medicare Enrollment ID | O20120111000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215921457 | NPI | - | NPPES |
| 1007709910059 | Medicaid | PA | |
| P000851 | Other | PA | CHAMPUS |
| 0052815201 | Medicaid | PA | |
| 4204301 | Medicaid | PA | |
| 0001006000 | Other | PA | IBC |
| 1007709910078 | Medicaid | PA | |
| 1007709910056 | Medicaid | PA | |
| 01000275400 | Medicaid | PA | |
| 393303 | Other | PA | HORIZON BLUE CROSS |
| 0052815202 | Medicaid | PA | |
| 505533072 | Other | PA | CIGNA |
| 0001426 | Other | PA | AETNA/US HEALTHCARE |
| 393303 | Other | PA | KEYSTONE HEALTH PLAN EAST |
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