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Organization

CN SBHC FAIRMONT HEIGHTS HS

Active
Parent organization
CHILDREN'S HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDREN'S HOSPITAL
Authorized official
PHILLICIA NELSON (VP - PAYOR FINANCIAL RELATIONS)
(301) 572-6281
Entity
Organization

Contact information

Practice address
6501 COLUMBIA PARK RD, LANDOVER, MD 20785-3970
(301) 749-4722
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
01/09/2026
Last updated
01/12/2026
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