CHILDREN'S HOSPITAL & MEDICAL CENTER NPI 1962866418

NPI Information

NPI: 1962866418
Provider Name: CHILDREN'S HOSPITAL & MEDICAL CENTER

Doing Business As: CHILDREN'S HOSPITAL & MEDICAL CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
110 N 175TH ST STE 1600
OMAHA, NE
ZIP 68118
Phone: (402) 955-5437
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CHILDREN'S HOSPITAL & MEDICAL CENTER is a multi-specialty clinic center in Omaha, NE. CHILDREN'S HOSPITAL & MEDICAL CENTER NPI is 1962866418. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Children's Hospital & Medical Center.

The provider's business location address is:

110 N 175TH ST STE 1600
OMAHA, NE
ZIP 68118-581
Phone: (402) 955-5437

The provider's authorized official is Chanda C Chacon .
The authorized official title is President & Ceo and has the following contact phone number (402) 955-4106.

The CLIA number assigned to this NPI record is 28D0667003 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 11/23/2021.

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
1	208000000X	Pediatrics				No
2	261QM1300X	Clinic/Center	Multi-Specialty			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	PENDING	MEDICAID	NEBRASKA

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: 11/14/2023

NPI Synchronization or Removal

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