1144379801 NPI number — TEMPLE UNIVERSITY HOSPITAL, INC

Table of content: (NPI 1144379801)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144379801 NPI number — TEMPLE UNIVERSITY HOSPITAL, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEMPLE UNIVERSITY HOSPITAL, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144379801
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3401 N BROAD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19140-5103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3401 N BROAD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19140-5103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-707-5303
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LUX
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
VP AND CFO
Authorized Official Telephone Number:
215-707-3802

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X , with the licence number:  200701 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0158198701 . This is a "AMERICHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 11 . This is a "ELDERHEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1401 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 390027 . This is a "GEISINGER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 60027 . This is a "HORIZON NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 00018 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 390027 . This is a "DEVON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 390027 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1007351140008 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 390027 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 390027 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 390027 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 390027 . This is a "PRIVATE HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 60027 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 4570 . This is a "IBC KHPE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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