| Chilrens Hospital Of Philadelphia | |
|
34th & Civic Center Blvd Parc Business Services Philadelphia PA 19104 | |
| (267) 426-5722 | |
| (267) 426-6325 |
| Full Name | Chilrens Hospital Of Philadelphia |
|---|---|
| Speciality | Clinic/center |
| Location | 34th & Civic Center Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dierdra Young (DIRECTOR) |
| Authorized Official Contact | 2674265722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chilrens Hospital Of Philadelphia 34th & Civic Center Blvd Parc Business Services Philadelphia PA 19104 Ph: (267) 426-5722 | Chilrens Hospital Of Philadelphia 34th & Civic Center Blvd Parc Business Services Philadelphia PA 19104 Ph: (267) 426-5722 |
| NPI Number | 1417007204 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417007204 | NPI | - | NPPES |
| 1007709910078 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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