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1316919608

NPI Code Detail

MEDICARE: CHHS REHAB COMPANY, LLC

MEDICARE: CHHS REHAB COMPANY, LLC

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
1	283X00000X	Rehabilitation Hospital	010401	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0002202000	OTHER		BCBS
2	35205	OTHER		HEALTH PARTNERS
3	8491805	OTHER		AETNA PPO
4	0108611701	OTHER		AMERICHOICE MA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1025628	OTHER		KEYSTONE MERCY
7	504903	OTHER		CIGNA
8	5842	OTHER		AETNA
9	610412300	OTHER		DEPT OF LABOR
10	HO2606	OTHER		OXFORD

General Provider Information

NPI Number	:	1316919608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHHS REHAB COMPANY, LLC

Provider Business Mailing Address
First Line	:	PO BOX 504134
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63150-4134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8601 STENTON AVE
Second Line	:
City	:	WYNDMOOR
State	:	PA
Zip	:	19038-8312
Country	:	US
Telephone Number	:	215-233-6200
Fax Number	:

Authorized Official
Title or Position	:	SENIOR VP, GROUP OPERATIONS
Name	:	GARY NEWSOME
Credential	:
Telephone Number	:	888-373-9600

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	10/06/2009

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Directions to “CHHS REHAB COMPANY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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