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Organization
LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
Active
Organization
LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY CARMACK (CHIEF FINANCIAL OFFICER)
(650) 736-0031
Entity
Organization
Contact information
Practice address
725 WELCH RD, MAIL CODE 5500, PALO ALTO, CA 94304-1601
(650) 497-8565
Mailing address
725 WELCH RD, MAIL CODE 5500, PALO ALTO, CA 94304-1601
(650) 497-8357
(650) 493-2491
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282NC2000X
Children's Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0 1241116
—
KY
05
—
0 410737
—
MT
05
—
00 1189126
—
NV
05
—
002182000
—
ID
05
—
00977963X
—
GA
05
—
100105870A
—
KS
05
—
1700479
—
LA
05
—
355075
—
AZ
05
—
54281201
—
HI
05
—
912214100
—
FL
05
—
95018255
—
CO
05
—
A5935
—
NM
05
—
HS966
—
AK
05
—
HSC11103G
—
CA
05
—
HSP41103G
—
CA
05
—
LUC3305N
—
AL
05
—
ZZR11103G
—
CA
01
—
ZZZB4301Z
BLUE SHIELD
CA
Enumeration date
10/26/2005
Last updated
12/24/2024
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