| Organization Name: | NATIONWIDE CHILDREN'S HIOSPITAL |
| NPI Number: | 1033554910 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA KLUCHUROSKY (PROGRAM MANAGER) |
| Mailing Address: | 5680 Venture Dr Dublin |
| State: | OH US |
| Postal Code: | 430172190 |
| Phone Number: | 6143558737 |
| Fax Number: | 6143558710 |
| NPI Enumeration Date: | 05/06/2013 |
| NPI Last Update Date: | 05/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | AT-001784 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |