Healthcare Provider Details

I. General information

NPI: 1750946257
Provider Name (Legal Business Name): NATIONWIDE CHILDREN'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2019
Last Update Date: 05/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 E MAIN ST
COLUMBUS OH
43215-5222
US

IV. Provider business mailing address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-2055
  • Fax:
Mailing address:
  • Phone: 614-722-2055
  • Fax: 614-355-1182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOLLY LYNN WIEGERIG
Title or Position: DIRECTOR, REVENUE CYCLE
Credential:
Phone: 614-355-2103