Healthcare Provider Details

I. General information

NPI: 1124561238
Provider Name (Legal Business Name): CHILDREN'S NATIONAL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2016
Last Update Date: 11/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 CHESWOLD COURT
BEL AIR MD
21014
US

IV. Provider business mailing address

111 MICHIGAN AVE NW
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 443-655-6940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281PC2000X
TaxonomyChildren's Chronic Disease Hospital
License Number
License Number State

VIII. Authorized Official

Name: ARIELLE MCBRIDE
Title or Position: MEDICAL STAFF LIASON
Credential:
Phone: 301-565-4258