Organization
CHILDRENS HOSPITAL & MEDICAL CENTER
Active
Parent organization
CHILDRENS HOSPITAL & MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDRENS HOSPITAL & MEDICAL CENTER
Authorized official
CHANDA C CHACON (PRESIDENT & CEO)
(402) 955-4106
Entity
Organization
Contact information
Practice address
111 N 84TH ST, OMAHA, NE 68114
(402) 955-6826
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-6826
(402) 955-6850
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
11/23/2021
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