Provider Demographics
NPI:1689656183
Name:HOSPITAL FOR SICK CHILDREN
Entity Type:Organization
Organization Name:HOSPITAL FOR SICK CHILDREN
Other - Org Name:CHILDREN'S NATIONAL REHABILITATION & SPECIALIZED CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC DIR, PAYOR FINANCIAL RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:PHILLICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-572-6281
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:20017-3026
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:20017-3026
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:2005-11-18
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHFD01-0216284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
5512301OtherJOHN HOPKINS HEALTH PLAN
0542460OtherAETNA LIFE INS
732OtherCAREFIRST
MD950035900Medicaid
DC029882900Medicaid
45794OtherAMERICAID
VA000301612Medicaid
=========OtherHEALTH NET
=========OtherCIGNA
=========OtherHEALTH RIGHT
=========OtherKAISER
5512301OtherJOHN HOPKINS HEALTH PLAN
VA000301612Medicaid
0542460OtherAETNA LIFE INS
=========OtherMAMSI
=========OtherUNITED HEALTH
DC029882900Medicaid
=========OtherAETNA US HEALTH
=========OtherMDIPA
=========OtherMAIL HANDLERS