Provider Demographics
NPI:1013359041
Name:CHILDREN'S HOSPITAL OF PITTSBURGH
Entity Type:Organization
Organization Name:CHILDREN'S HOSPITAL OF PITTSBURGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURKEY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:412-864-9459
Mailing Address - Street 1:5607 ELMER ST
Mailing Address - Street 2:105
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-2421
Mailing Address - Country:US
Mailing Address - Phone:814-341-2478
Mailing Address - Fax:
Practice Address - Street 1:5607 ELMER ST
Practice Address - Street 2:105
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-2421
Practice Address - Country:US
Practice Address - Phone:814-341-2478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASPO11848282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren