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KIDSPEACE CHILDREN'S HOSPITAL INC. NPI 1417016825


NPI Information

NPI: 1417016825
Provider Name: KIDSPEACE CHILDREN'S HOSPITAL, INC.
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
5300 KIDSPEACE DR
OREFIELD, PA
ZIP 18069
Phone: (800) 854-3123
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KIDSPEACE CHILDREN'S HOSPITAL, INC. is a psychiatric hospital in Orefield, PA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. KIDSPEACE CHILDREN'S HOSPITAL, INC. NPI is 1417016825. The provider is registered as an organization entity type.

The provider's business location address is:

5300 KIDSPEACE DR
OREFIELD, PA
ZIP 18069-044
Phone: (800) 854-3123
Fax: (610) 799-8801

The provider's authorized official is Michael Slack .
The authorized official title is Chief Executive Officer and has the following contact phone number (610) 799-8405.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 9/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric Hospital234200PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10002392000MEDICAIDWEST VIRGINIA
2100728370-0001MEDICAIDPENNSYLVANIA
31417016825MEDICAIDMINNESOTA
41417016825MEDICAIDMAINE
51417016825MEDICAIDMONTANA
6019373900MEDICAIDDISTRICT OF COLUMBIA
702103886MEDICAIDNEW YORK
8418657500MEDICAIDMARYLAND
9003134400MEDICAIDCONNECTICUT
101417016825MEDICAIDVIRGINIA
115061679MEDICAIDNEW JERSEY
121417016825MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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