Healthcare Provider Details

I. General information

NPI: 1932448248
Provider Name (Legal Business Name): NATIONWIDE CHILDRENS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDREN'S DRIVE NATIONWIDE CHILDRENS HOSPITAL
COLUMBUS OH
43205-2664
US

IV. Provider business mailing address

700 CHILDRENS DRIVE NATIONWIDE CHILDRENS HOSPITAL
COLUMBUS OH
43205-0000
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-2000
  • Fax:
Mailing address:
  • Phone: 614-722-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number096044
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number096044
License Number StateOH

VIII. Authorized Official

Name: DR. OLIVIA THOMAS
Title or Position: DIVISION CHIEF
Credential: M.D
Phone: 614-722-4950