Healthcare Provider Details

I. General information

NPI: 1992634497
Provider Name (Legal Business Name): SHRINERS HOSPITALS FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 DOUGHTY ST STE 710
CHARLESTON SC
29403-5785
US

IV. Provider business mailing address

PO BOX 8500 LOCKBOX # 7642
PHILADELPHIA PA
19178-7642
US

V. Phone/Fax

Practice location:
  • Phone: 813-281-0300
  • Fax: 813-281-8656
Mailing address:
  • Phone: 813-281-0300
  • Fax: 813-281-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LESLIE D. STEWART
Title or Position: PRESIDENT
Credential:
Phone: 813-281-0300