Organization
CRIPPLED CHILDREN'S HOSPITAL
Active
Other names
Children's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE G. WYATT RN, MS (PRESIDENT/CEO)
(804) 321-7474
Entity
Organization
Contact information
Practice address
2924 BROOK RD, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 321-2728
Mailing address
2924 BROOK RD, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 321-2728
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
H1627
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004909976
—
VA
05
—
004939972
—
VA
05
—
004960777
—
VA
01
—
C09422
MEDICARE PART B
VA
Enumeration date
05/03/2006
Last updated
05/26/2009
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