Provider Demographics
NPI:1528208204
Name:JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC
Entity Type:Organization
Organization Name:JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC
Other - Org Name:JOHNS HOPKINS ALL CHILDREN'S HOSPITAL DIALYSIS UNIT
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:SCHULHOF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-898-7451
Mailing Address - Street 1:501 6TH AVE S
Mailing Address - Street 2:DEPT. 9525
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4634
Mailing Address - Country:US
Mailing Address - Phone:727-767-8888
Mailing Address - Fax:727-767-8521
Practice Address - Street 1:501 6TH AVE S
Practice Address - Street 2:DEPT. 9525
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4634
Practice Address - Country:US
Practice Address - Phone:727-767-8888
Practice Address - Fax:727-767-8521
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-20
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4042261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010151600Medicaid
FL102328Medicare Oscar/Certification