1356496038 NPI number — PHILADELPHIA HEALTH & EDUCATION CORPORATION

Table of content: (NPI 1356496038)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356496038 NPI number — PHILADELPHIA HEALTH & EDUCATION CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHILADELPHIA HEALTH & EDUCATION CORPORATION
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:
DREXEL GYNECOLOGY-ONCOLOGY SERVICES
Provider Other Organization Name Type Code:
3
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:
1356496038
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1601 CHERRY ST
Provider Second Line Business Mailing Address:
SUITE 11511
Provider Business Mailing Address City Name:
PHILA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19102-1321
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-255-7822
Provider Business Mailing Address Fax Number:
215-255-7825

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
246 NORTH BROAD ST
Provider Second Line Business Practice Location Address:
15TH FLOOR SOUTH TOWER
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-762-2640
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MEINDEL
Authorized Official First Name:
LOU
Authorized Official Middle Name:
Authorized Official Title or Position:
SR. EXECUTIVE DIRECTOR OF FINANCE
Authorized Official Telephone Number:
215-255-7822

Provider Taxonomy Codes

  • Taxonomy code: 207VX0201X , 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: 184037 . This is a "HIGHMARK PA BS GROUP #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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