# CN SBHC NORTHWESTERN HS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114884129
- **Legal business name:** CHILDREN'S HOSPITAL
- **Authorized official:** PHILLICIA NELSON (VP PAYOR FINANCIAL RELATIONS)
- **Authorized official phone:** (301) 572-6281

## Contact information

- **Practice address:** 7000 ADELPHI RD, HYATTSVILLE, MD 20782-1454
- **Practice address phone:** (301) 749-4722
- **Mailing address:** 111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2026
- **Last updated:** 01/12/2026