NPIMap

Organization Active NPI

Crippled Children'S Hospital

  • Clinic/Center
  • Petersburg, VA
National Provider Identifier
1386809044
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
H1842 Issued in VA
Legal business name
CRIPPLED CHILDREN'S HOSPITAL
Practice address
321 B Poplar Drive
Suite 4 Children'S Hospital Therapy Center
Petersburg, VA 23805
Phone
(804) 321-7474
Fax
(804) 228-5210
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Leslie G Wyatt
Title
President & Ceo
Phone
(804) 321-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X H1842 VA Primary

Addresses

Primary practice location

321 B Poplar Drive
Suite 4 Children'S Hospital Therapy Center
Petersburg, VA 23805

Mailing address

2924 Brook Rd
Children'S Hospital Therapy Dept
Richmond, VA 23220-1215
Phone (804) 321-7474

Other identifiers 1

IdentifierTypeStateIssuer
004909976MedicaidVA

Other names 1

  • Children's Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children'S Hospital20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

321 Poplar Dr
Ste 4
Petersburg, VA 23805
Phone (804) 321-7474

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1386809044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 BROOK RD",
            "address_2": "CHILDREN'S HOSPITAL THERAPY DEPT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201215",
            "telephone_number": "804-321-7474",
            "fax_number": "804-228-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 B POPLAR DRIVE",
            "address_2": "SUITE 4 CHILDREN'S HOSPITAL THERAPY CENTER",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23805",
            "telephone_number": "804-321-7474",
            "fax_number": "804-228-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIPPLED CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "804-321-7474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "H1842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004909976",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.