MEDICARE: CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC

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	281PC2000X	Children's Chronic Disease Hospital
2	282NC2000X	Children's Hospital

General Provider Information

NPI Number	:	1215241104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC

Provider Business Mailing Address
First Line	:	4401 PENN AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-1334
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 PENN AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-1334
Country	:	US
Telephone Number	:	412-692-5325
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	DR. DENA HOFKOSH
Credential	:	M.D.
Telephone Number	:	412-692-5325

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	08/03/2010

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Directions to “CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC ” Practice Location

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