Organization
CHILDRENS HOSPITAL CORPORATION
Active
Other names
Childrens Hospital Radiology PFS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A KIRSHNER (SR VP FINANCE AND CFO)
(617) 355-6881
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, PATIENT FINANCIAL SERVICES ATTN STEVEN NICOLL, BOSTON, MA 02115-5724
(857) 218-3391
(617) 730-0080
Mailing address
300 LONGWOOD AVE, PATIENT FINANCIAL SERVICES ATTN STEVEN NICOLL, BOSTON, MA 02115-5724
(857) 218-3391
(617) 730-0080
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007052
NHP
MA
05
—
110026858A
—
MA
05
—
110026858B
—
MA
01
—
2222012201
BLUE CROSS INPATIENT
MA
01
—
2222012210
BLUE CROSS OUTPT
MA
01
—
2222012230
BLUE CROSS DSUOBS
MA
01
—
458829052
CIGNA
—
01
—
6300175
AETNA
—
01
—
643120
TUFTS RADIOLOGIST
MA
01
—
6561
BMC
MA
01
—
900018
HPHC
MA
Enumeration date
03/15/2010
Last updated
03/15/2010
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