Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Parent organization
SHRINERS HOSPITALS FOR CHILDREN
Other names
Shriners Children's Medford Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHRINERS HOSPITALS FOR CHILDREN
Authorized official
MR. JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
750 MURPHY RD, MEDFORD, OR 97504-8426
(503) 396-9148
(503) 221-3701
Mailing address
PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-0300
(813) 281-0943
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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