MEDICARE: SEATTLE CHILDREN'S HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023140431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEATTLE CHILDREN'S HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 5371
Second Line	:	818-RC
City	:	SEATTLE
State	:	WA
Zip	:	98145-5005
Country	:	US
Telephone Number	:	206-987-5770
Fax Number	:	206-987-5779

Provider Business Practice Location Address
First Line	:	3939 S OTHELLO ST STE 101
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3505
Country	:	US
Telephone Number	:	206-987-7200
Fax Number	:

Authorized Official
Title or Position	:	SVP AND CFO
Name	:	SUZANNE BEITEL
Credential	:
Telephone Number	:	206-987-2004

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	02/03/2026

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Directions to “SEATTLE CHILDREN'S HOSPITAL ” Practice Location

Language	Start Address	Practice Location

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