1306289624 NPI number — THE PHILADELPHIA CHARTER SCHOOL FOR THE ARTS AND SCIENCES AT H.R. EDMU

Table of content: (NPI 1306289624)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306289624 NPI number — THE PHILADELPHIA CHARTER SCHOOL FOR THE ARTS AND SCIENCES AT H.R. EDMU

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE PHILADELPHIA CHARTER SCHOOL FOR THE ARTS AND SCIENCES AT H.R. EDMU
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:
1306289624
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13000 LINCOLN DRIVE WEST
Provider Second Line Business Mailing Address:
SUITE 302
Provider Business Mailing Address City Name:
MARLTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08053
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-505-1300
Provider Business Mailing Address Fax Number:
856-505-1300

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1197 HAWORTH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHIADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-537-2520
Provider Business Practice Location Address Fax Number:
215-537-2861
Provider Enumeration Date:
04/17/2013

Additional Information

Authorized Official

Authorized Official Last Name:
FEOLA
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO/PRINCIPAL
Authorized Official Telephone Number:
215-537-2520

Provider Taxonomy Codes

  • Taxonomy code: 101YS0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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