Kidspeace Children'S Hospital, Inc.

LBN: Kidspeace Children'S Hospital, Inc.
Kidspeace Children'S Hospital, Inc. is an health care organization with primary practice located at 101 Pittston Ave First Floor, Suite 3, Scranton PA 18505-1150. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Kidspeace Children'S Hospital, Inc. can be contacted via phone (570) 342-5444, or through Slack, Michael via phone (610) 799-8405.

Contact Information

Primary practice address
101 Pittston Ave First Floor, Suite 3 Scranton PA 18505-1150
Phone: (570) 342-5444
Fax: (570) 342-5539
Website:
Map and Directions
Authorized official contact:
Name: Slack, Michael
Phone: (610) 799-8405

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 201990 Pennsylvania

Profile Details

NPI number 1366632390
LBN Legal business name Kidspeace Children'S Hospital, Inc.
DBA Doing business as
Authorized official Slack, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366632390 NPPES
Pennsylvania MEDICAID 100728370-0043

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