Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
2425 STOCKTON BLVD, SACRAMENTO, CA 95817-2215
(916) 453-2000
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(916) 453-2000
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
030000620
CA
Other
Enumeration date
02/28/2007
Last updated
09/20/2019
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