Shriners Hospitals For Children

LBN: Shriners Hospitals For Children
Shriners Hospitals For Children is an health care organization with primary practice located at 3101 Sw Sam Jackson Park Rd , Portland OR 97239-3009. The organization recently has only one registered license in Hospitals / Children, which is considered as the primary health care specialty. Shriners Hospitals For Children can be contacted via phone (503) 294-3230, or through Gantt, Jerry G. via phone (813) 281-0300.

Contact Information

Primary practice address
3101 Sw Sam Jackson Park Rd Portland OR 97239-3009
Phone: (503) 294-3230
Fax: (503) 221-3701
Website:
Map and Directions
Authorized official contact:
Name: Gantt, Jerry G.
Phone: (813) 281-0300

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Children 282NC2000X 394874 Oregon

Profile Details

NPI number 1982793139
LBN Legal business name Shriners Hospitals For Children
DBA Doing business as
Authorized official Gantt, Jerry G.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 20th, 2019 - about 5 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 1982793139 NPPES
Idaho MEDICAID 1982793139
Idaho MEDICAID HS10RIP
Idaho MEDICAID 2015176
Idaho MEDICAID 271154

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