Provider Demographics
NPI:1508954751
Name:CHILDREN' S HOSPITAL
Entity Type:Organization
Organization Name:CHILDREN' S HOSPITAL
Other - Org Name:PEDIATRIC PULMONARY & CRITICAL CARE ASSOC.
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR, RESPIRATORY CARE
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-896-9386
Mailing Address - Street 1:200 HENRY CLAY AVE
Mailing Address - Street 2:SUITE 2023
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5720
Mailing Address - Country:US
Mailing Address - Phone:504-896-9386
Mailing Address - Fax:504-896-3993
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:SUITE 2023
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5720
Practice Address - Country:US
Practice Address - Phone:504-896-9386
Practice Address - Fax:504-896-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA014356282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1195634Medicaid
LAD79802Medicare UPIN
LA5F669Medicare ID - Type Unspecified