1225091697 NPI number — DOYLESTOWN HOSPITAL

Table of content: (NPI 1225091697)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225091697 NPI number — DOYLESTOWN HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOYLESTOWN HOSPITAL
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:
1225091697
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/18/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
595 WEST STATE STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DOYLESTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18901-2554
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-345-2652
Provider Business Mailing Address Fax Number:
215-345-2944

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
595 W STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOYLESTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18901-2597
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-345-2321
Provider Business Practice Location Address Fax Number:
215-345-2899
Provider Enumeration Date:
04/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SEEBER
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF ACCOUNTING OFFICER
Authorized Official Telephone Number:
215-345-2484

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  300401 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , 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: 1001257320002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110713491 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1001257320004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1001257320015 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1001257320017 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1001257320003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1001257320014 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 130945683 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1-0713491 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 121113116 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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