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NPI Code Detail

MEDICARE: THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS

MEDICARE: THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063489342
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS
Provider Business Mailing Address
First Line : 1500 MARKET ST
Second Line : UPPER MEZZENINE 600
City : PHILADELPHIA
State : PA
Zip : 19102-2100
Country : US
Telephone Number : 215-796-4640
Fax Number : 609-770-7792
Provider Business Practice Location Address
First Line : 800 SPRUCE ST
Second Line :
City : PHILA
State : PA
Zip : 19107-6130
Country : US
Telephone Number : 215-796-4640
Fax Number : 609-770-7792
Authorized Official
Title or Position : AVP FINANCE
Name : MR. THOMAS MCCORMICK JR.
Credential :
Telephone Number : 215-796-4640
Provider Enumeration Date : 03/04/2006
Last Update Date : 03/30/2023

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Directions to “THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS ” Practice Location

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