CHILDREN'S HOSPITAL CORPORATION NPI 1700982592

NPI Information

NPI: 1700982592
Provider Name: CHILDREN'S HOSPITAL CORPORATION

Other Name: CHILDRE'S HOSPITAL BOSTON EARLY INTERVENTION PROGRAM

Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization

CLIA Number: 22D1092067

Address:
75 BICKFORD ST
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 355-4831
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CHILDREN'S HOSPITAL CORPORATION is a voluntary or charitable in Jamaica Plain, MA. CHILDREN'S HOSPITAL CORPORATION NPI is 1700982592. The provider is registered as an organization entity type.
The provider Other Name Is Childre's Hospital Boston Early Intervention Program.

The provider's business location address is:

75 BICKFORD ST
JAMAICA PLAIN, MA
ZIP 02130-401
Phone: (617) 355-4831
Fax: (617) 730-0080

The provider's authorized official is David A Kirshner .
The authorized official title is Sr Vp Finance And Cfo and has the following contact phone number (617) 355-6881.

The CLIA number assigned to this NPI record is 22D1092067 - ancillary testing site in health care center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/16/2006 and was last updated on 8/22/2020.

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
1	251V00000X	Voluntary or Charitable		2139	MASSACHUSETTS	Yes

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
1	0009150	OTHER	MASSACHUSETTS	NEIGHBORHOOD HELATH PLAN
2	000000006560	OTHER	MASSACHUSETTS	BOSTON MEDICAL CTR HEALTH
3	E10038	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHEILD
4	1803212	MEDICAID	MASSACHUSETTS
5	623879	OTHER	MASSACHUSETTS	HARVARD PILGRIM HEALTH PL
6	613436	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN

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: 4/28/2024

NPI Synchronization or Removal

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