Provider Demographics
NPI:1124262126
Name:CHILD HEALTH SYSTEMS, INC.
Entity type:Organization
Organization Name:CHILD HEALTH SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE & BEHAVIORAL HEALTH SERV
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:TOSTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-872-8521
Mailing Address - Street 1:8509 BENJAMIN RD
Mailing Address - Street 2:SUITE A-D
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-1224
Mailing Address - Country:US
Mailing Address - Phone:813-880-0220
Mailing Address - Fax:813-880-0221
Practice Address - Street 1:8509 BENJAMIN RD
Practice Address - Street 2:SUITE D
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-1224
Practice Address - Country:US
Practice Address - Phone:813-872-8521
Practice Address - Fax:813-880-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL679096896Medicaid