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NPI Code Detail

MEDICARE: KIDSPEACE CHILDREN'S HOSPITAL, INC.

MEDICARE: KIDSPEACE CHILDREN'S HOSPITAL, INC.
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
1283Q00000XPsychiatric Hospital234200PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417016825
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDSPEACE CHILDREN'S HOSPITAL, INC.
Provider Business Mailing Address
First Line : 4085 INDEPENDENCE DR
Second Line :
City : SCHNECKSVILLE
State : PA
Zip : 18078-2574
Country : US
Telephone Number : 800-854-3123
Fax Number : 610-799-8318
Provider Business Practice Location Address
First Line : 5300 KIDSPEACE DR
Second Line :
City : OREFIELD
State : PA
Zip : 18069-2044
Country : US
Telephone Number : 800-854-3123
Fax Number : 610-799-8801
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. MICHAEL SLACK
Credential :
Telephone Number : 610-799-8405
Provider Enumeration Date : 12/08/2006
Last Update Date : 09/20/2021

Similar Medicare Providers

1497741094 — MICHAEL G WISSLER DO
Practice Location Address:
5300 KIDSPEACE DR , KIDSPEACE NATIONAL CENTERS, INC.
OREFIELD, PA
18069-2044
Practice Phone: 610-799-8853
Practice Fax: 610-799-8001
1871576736 — DR. KUTAIBA S CHALEBY MD
Practice Location Address:
5300 KIDSPEACE DR
OREFIELD, PA
18069-2044
Practice Phone: 610-799-8477
Practice Fax:
1558479501 — MATTHEW S KOVAL MD
Practice Location Address:
5300 KIDSPEACE DR
OREFIELD, PA
18069-2044
Practice Phone: 800-854-3123
Practice Fax:
1033200506 — ANDREW RYAN CLARK M.D.
Practice Location Address:
5300 KIDSPEACE DR
OREFIELD, PA
18069-2044
Practice Phone: 610-799-8000
Practice Fax: 610-799-8801
1265500532 — MR. RONALD PETER SLIVKA FAMILY NURSE PRACTIT
Practice Location Address:
5300 KIDSPEACE DR
OREFIELD, PA
18069-2044
Practice Phone: 610-799-8522
Practice Fax: 610-799-8801
1982749776 — KIDSPEACE NATIONAL CENTERS INC
Practice Location Address:
5300 KIDSPEACE DR
OREFIELD, PA
18069-2044
Practice Phone: 800-854-3123
Practice Fax: 610-799-8318

Directions to “KIDSPEACE CHILDREN'S HOSPITAL, INC. ” Practice Location

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