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Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Children's Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
1 CHILDREN'S PLAZA, 2 WEST, DAYTON, OH 45404-1815
(513) 872-6000
(513) 872-6025
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(813) 281-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
1808
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1808
OHIO DEPT OF HEALTH
OH
Enumeration date
04/25/2007
Last updated
02/05/2021
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