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CRIPPLED CHILDREN'S HOSPITAL NPI 1386809044


NPI Information

NPI: 1386809044
Provider Name: CRIPPLED CHILDREN'S HOSPITAL

Doing Business As: CHILDREN'S HOSPITAL

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
321 B POPLAR DRIVE
SUITE 4 CHILDREN'S HOSPITAL THERAPY CENTER
PETERSBURG, VA
ZIP 23805
Phone: (804) 321-7474
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CRIPPLED CHILDREN'S HOSPITAL is a clinic center in Petersburg, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CRIPPLED CHILDREN'S HOSPITAL NPI is 1386809044. The provider is registered as an organization entity type.
The provider Is Doing Business As Children's Hospital.

The provider's business location address is:

321 B POPLAR DRIVE
SUITE 4 CHILDREN'S HOSPITAL THERAPY CENTER
PETERSBURG, VA
ZIP 23805
Phone: (804) 321-7474
Fax: (804) 228-5210

The provider's authorized official is Leslie G Wyatt .
The authorized official title is President & Ceo and has the following contact phone number (804) 321-7474.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterH1842VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004909976MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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