Provider Demographics
NPI:1427114099
Name:JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC
Entity type:Organization
Organization Name:JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:SCHULHOF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-898-7451
Mailing Address - Street 1:501 6TH AVE S
Mailing Address - Street 2:DEPT. 9525
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4634
Mailing Address - Country:US
Mailing Address - Phone:727-898-7451
Mailing Address - Fax:727-767-4191
Practice Address - Street 1:501 6TH AVE S
Practice Address - Street 2:D#9050
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4634
Practice Address - Country:US
Practice Address - Phone:727-898-7451
Practice Address - Fax:727-767-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4042282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren
Provider Identifiers
StateIdentifier IDID TypeIssuer
536OtherPROVIDER ID - BCBS OF FL
FL103300OtherMEDICARE
0064012OtherPROVIDER ID AETNA HMO
6201125OtherPROVIDER ID AETNA NON HMO
FL010151600Medicaid
6K4OtherPROVIDER ID BCBS BLUE OPT