Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Children's Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
1 CHILDREN'S PLAZA, 2 WEST, DAYTON, OH 45404-1815
(513) 872-6000
(513) 872-6025
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(813) 281-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
1808
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1808
OHIO DEPT OF HEALTH
OH
Enumeration date
04/25/2007
Last updated
02/05/2021
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