1700223559 NPI number — SHRINERS HOSPITALS FOR CHILDREN

Table of content: (NPI 1700223559)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700223559 NPI number — SHRINERS HOSPITALS FOR CHILDREN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHRINERS HOSPITALS FOR 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:
SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES
Provider Other Organization Name Type Code:
5
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:
1700223559
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8500
Provider Second Line Business Mailing Address:
LOCKBOX #7642
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19178-7642
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-266-2101
Provider Business Mailing Address Fax Number:
859-268-5636

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1900 RICHMOND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40502-1204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-266-2101
Provider Business Practice Location Address Fax Number:
859-268-5636
Provider Enumeration Date:
06/03/2013

Additional Information

Authorized Official

Authorized Official Last Name:
LEWGOOD
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
'TONY'
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
859-268-5630

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  100116 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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