Organization
LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
Active
Parent organization
LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
Authorized official
TIM CARMACK (CHIEF FINANCIAL OFFICER)
(650) 736-0031
Entity
Organization
Contact information
Practice address
725 WELCH RD, MAIL CODE 5500, PALO ALTO, CA 94304-1601
(650) 497-8357
(650) 493-2491
Mailing address
725 WELCH RD, MAIL CODE 5500, PALO ALTO, CA 94304-1601
(650) 497-8357
(650) 493-2491
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC052390F
—
CA
Enumeration date
12/18/2006
Last updated
03/19/2008
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