1689656183 NPI number — HOSPITAL FOR SICK CHILDREN

Table of content: ELIZABETH SAYLES CAMPBELL LCPC (NPI 1083157523)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689656183 NPI number — HOSPITAL FOR SICK CHILDREN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL FOR SICK CHILDREN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689656183
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1731 BUNKER HILL RD NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20017-3026
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-832-4400
Provider Business Mailing Address Fax Number:
202-529-2791

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1731 BUNKER HILL RD NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20017-3026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-832-4400
Provider Business Practice Location Address Fax Number:
202-529-2791
Provider Enumeration Date:
11/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
NELSON
Authorized Official First Name:
PHILLICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
EXEC DIR, PAYOR FINANCIAL RELATIONS
Authorized Official Telephone Number:
301-572-6281

Provider Taxonomy Codes

  • Taxonomy code: 284300000X , with the licence number:  HFD01-0216 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5512301 . This is a "JOHN HOPKINS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0542460 . This is a "AETNA LIFE INS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 732 . This is a "CAREFIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 950035900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 029882900 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 45794 . This is a "AMERICAID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000301612 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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