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PED503300-31 SEATTLE CHILDREN'S HOSPITAL (Active)
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Main Details
Name
SEATTLE CHILDREN'S HOSPITAL
Subdivision Name
Magnuson Clinic- Psychology
Type
Children's Hospital
Rural
No
340B ID
PED503300-31
Medicare Provider Number
503300
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/4/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/4/2023
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
6901 SAND POINT WAY NE
SEATTLE, WA 98115-7869
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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