1265446983 NPI number — TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

Table of content: (NPI 1265446983)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265446983 NPI number — TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
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:
TEMPLE FOOT AND ANKLE INSTITUTE
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:
1265446983
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
148 NORTH 8TH STREET
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:
19182-7282
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-777-5808
Provider Business Mailing Address Fax Number:
215-777-5825

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
148 N 8TH 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:
19107-2418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-777-5808
Provider Business Practice Location Address Fax Number:
215-777-5825
Provider Enumeration Date:
07/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
RODERICK
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
SR VICE DEAN
Authorized Official Telephone Number:
215-777-5732

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 213ES0103X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213ES0131X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0055414000 . This is a "KHPE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 31299 . This is a "AETNA US HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 31776 . This is a "KMHP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007780130840 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1818530 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 435444 . This is a "HEALTH AMERICA HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007780130286 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: DA9675 . This is a "TRAVELERS RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 28824 . This is a "HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: TE338806 . This is a "BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 435444 . This is a "HEALTH AMERICA HEALTH ASS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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