1811992084 NPI number — ABINGTON MEMORIAL HOSPITAL

Table of content: (NPI 1811992084)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811992084 NPI number — ABINGTON MEMORIAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABINGTON MEMORIAL 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:
1811992084
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 780574
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:
19178-0574
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-481-2000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 OLD YORK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ABINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19001-3720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-481-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
WALSH
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE-PRESIDENT
Authorized Official Telephone Number:
215-481-2851

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  270501 , 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: 0001403 . This is a "AETNA/USHC, MAGELLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 019770000 . This is a "MAGELLAN - IBC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007691860091 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 129663 . This is a "MAGELLAN - IP PSYCH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0001126000 . This is a "INDEPENDENCE BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0053699604 . This is a "AMERICHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 08341 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007691860187 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 128414 . This is a "MAGELLAN - OP ETC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007691860002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007691860024 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007691860186 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 45931 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007691860184 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007691860197 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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