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NPI Code Detail

MEDICARE: CRIPPLED CHILDREN'S HOSPITAL

MEDICARE: CRIPPLED 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
1282NC2000XChildren's HospitalH1627VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2C09422OTHERVAMEDICARE PART B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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

General Provider Information

NPI Number : 1841258589
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRIPPLED CHILDREN'S HOSPITAL
Provider Business Mailing Address
First Line : 2924 BROOK RD
Second Line :
City : RICHMOND
State : VA
Zip : 23220-1215
Country : US
Telephone Number : 804-321-7474
Fax Number : 804-321-2728
Provider Business Practice Location Address
First Line : 2924 BROOK RD
Second Line :
City : RICHMOND
State : VA
Zip : 23220-1215
Country : US
Telephone Number : 804-321-7474
Fax Number : 804-321-2728
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MRS. LESLIE G. WYATT
Credential : RN, MS
Telephone Number : 804-321-7474
Provider Enumeration Date : 05/03/2006
Last Update Date : 05/26/2009

Similar Medicare Providers

1356384218 — STEPHANIE ARNOLD O.T.
Practice Location Address:
2924 BROOK RD
RICHMOND, VA
23220-1215
Practice Phone: 804-291-1137
Practice Fax: 804-228-5822
1699860858 — MRS. CARRIE ANNE HUGHES M.S.OTR/L
Practice Location Address:
2924 BROOK RD
RICHMOND, VA
23220-1215
Practice Phone: 804-321-7474
Practice Fax:
1619062767 — AMANDA PILLIS MONTALTO MPT
Practice Location Address:
2924 BROOK RD
RICHMOND, VA
23220-1215
Practice Phone: 804-321-7474
Practice Fax: 804-228-5991
1821183930 — MRS. ELIZABETH JANE GRINSELL M.S. CCC-SLP
Practice Location Address:
2924 BROOK RD
RICHMOND, VA
23220-1215
Practice Phone: 804-321-7474
Practice Fax: 804-545-3830
1033204078 — MS. TARA TRAVERS DEMORATZ CCC-SLP
Practice Location Address:
2924 BROOK RD
RICHMOND, VA
23220-1215
Practice Phone: 804-614-2452
Practice Fax:
1467549352 — KIMBERLY JONES RITENOUR PNP
Practice Location Address:
2924 BROOK RD , CHILDREN'S HOSPITAL
RICHMOND, VA
23220-1215
Practice Phone: 804-321-7474
Practice Fax: 804-228-5210

Directions to “CRIPPLED CHILDREN'S HOSPITAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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