Healthcare Provider Details

I. General information

NPI: 1609119064
Provider Name (Legal Business Name): NATIONWIDE CHILDREN'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 04/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

IV. Provider business mailing address

5226 OSTENHILL CT
CINCINNATI OH
45238-5730
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-2000
  • Fax:
Mailing address:
  • Phone: 513-305-9366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281PC2000X
TaxonomyChildren's Chronic Disease Hospital
License NumberCOA14375-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License NumberCOA14375-NP
License Number StateOH

VIII. Authorized Official

Name: MR. TIM ROBINSON
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 614-722-5958