Organization
KIDSPEACE CHILDREN'S HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SLACK (CHIEF EXECUTIVE OFFICER)
(610) 799-8405
Entity
Organization
Contact information
Practice address
5300 KIDSPEACE DR, OREFIELD, PA 18069-2044
(800) 854-3123
(610) 799-8801
Mailing address
4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
(800) 854-3123
(610) 799-8318
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
234200
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002392000
—
WV
05
—
003134400
—
CT
05
—
019373900
—
DC
05
—
02103886
—
NY
05
—
100728370-0001
—
PA
05
—
1417016825
—
CA
05
—
1417016825
—
ME
05
—
1417016825
—
MN
05
—
1417016825
—
MT
05
—
1417016825
—
VA
05
—
418657500
—
MD
05
—
5061679
—
NJ
Enumeration date
12/08/2006
Last updated
09/20/2021
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