Provider Demographics
NPI:1093371619
Name:HOSPITAL FOR SICK CHILDREN
Entity Type:Organization
Organization Name:HOSPITAL FOR SICK CHILDREN
Other - Org Name:THE HSC PEDIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-832-4400
Mailing Address - Street 1:1731 BUNKER HILL RD NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3096
Mailing Address - Country:US
Mailing Address - Phone:202-832-4400
Mailing Address - Fax:202-529-2791
Practice Address - Street 1:1731 BUNKER HILL RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3096
Practice Address - Country:US
Practice Address - Phone:202-832-4400
Practice Address - Fax:202-529-2791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty