Healthcare Provider Details

I. General information

NPI: 1477549145
Provider Name (Legal Business Name): CENTRAL MONTGOMERY MEDICAL CENTER L L C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 07/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDICAL CAMPUS DR
LANSDALE PA
19446-1259
US

IV. Provider business mailing address

100 MEDICAL CAMPUS DR
LANSDALE PA
19446-1259
US

V. Phone/Fax

Practice location:
  • Phone: 215-368-2100
  • Fax:
Mailing address:
  • Phone: 215-368-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number660101
License Number StatePA

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO, SENIOR VP
Credential:
Phone: 610-768-3300