Healthcare Provider Details

I. General information

NPI: 1265505432
Provider Name (Legal Business Name): SEATTLE CHILDREN'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

PO BOX 5371 818-RC
SEATTLE WA
98145-5020
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-5778
  • Fax: 206-987-5779
Mailing address:
  • Phone: 206-987-2000
  • Fax: 206-985-3114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License NumberH-014
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberH-014
License Number StateWA

VIII. Authorized Official

Name: SUZANNE BEITEL
Title or Position: SVP AND CFO
Credential:
Phone: 206-987-2000