Organization
CHILDREN'S HOSPITAL OF PHILADELPHIA
Active
Parent organization
CHILDREN'S HOSPITAL OF PHILADELPHIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Authorized official
LORI CIARDI PHARM D (SR. DIRECTOR HOME CARE)
(267) 425-9089
Entity
Organization
Contact information
Practice address
3000 HORIZON DR, KING OF PRUSSIA, PA 19406-2626
(800) 866-1242
(610) 992-1040
Mailing address
3000 HORIZON DR, KING OF PRUSSIA, PA 19406-2626
(800) 866-1242
(610) 992-1040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
748105
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002705000
INDEPENDENCE BLUE CROSS
PA
05
—
1007709910003
—
PA
01
—
1070822
KEYSTONE MERCY
PA
05
—
6074715
—
NJ
01
—
AETNA HMO
3706539
PA
01
—
AETNA PPO
7750646
PA
Enumeration date
11/09/2006
Last updated
11/14/2019
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