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PED503300-00 SEATTLE CHILDREN'S HOSPITAL (Active)
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Main Details
Name
SEATTLE CHILDREN'S HOSPITAL
Subdivision Name
Type
Children's Hospital
Rural
No
340B ID
PED503300-00
Medicare Provider Number
503300
Additional Details
Current Program Status
Active
Registration Date
9/22/2010
Participating Start Date
9/29/2010
Participating Approval Date
9/29/2010
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Seattle Children's Hospital
Warren E Hewitt, VP, Finance and Chief Accounting Officer
(206) 884-2378
Primary Contact
Seattle Children's Hospital
Joanne Donhoff, Senior Reimbursement Analyst
(206) 884-2345
Addresses
Street Address
4800 Sand Point Way NE
SEATTLE, WA 98105
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/19/11 ADDED NPI#; 10/20/11 removed NPI (was 1245342153); 09/09/11 added NPI#;05/09/11 CHANGED ZIPCODE(WAS 98145)
12/19/2011
10/20/11 removed NPI (was 1245342153); 09/09/11 added NPI#;05/09/11 CHANGED ZIPCODE(WAS 98145)
10/20/2011
10/19/11 removed NPI (was 1245342153); 09/09/11 added NPI#;05/09/11 CHANGED ZIPCODE(WAS 98145)
10/19/2011
09/09/11 added NPI#;05/09/11 CHANGED ZIPCODE(WAS 98145)
09/09/2011
05/09/11 CHANGED ZIPCODE(WAS 98145)
05/31/2011
April 2025
April 2025
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