Healthcare Provider Details

I. General information

NPI: 1629076070
Provider Name (Legal Business Name): MONTGOMERY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 05/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 POWELL ST
NORRISTOWN PA
19401-3323
US

IV. Provider business mailing address

1301 POWELL ST P.O. BOX 0992
NORRISTOWN PA
19401-3323
US

V. Phone/Fax

Practice location:
  • Phone: 610-270-2000
  • Fax:
Mailing address:
  • Phone: 610-270-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number910410
License Number StatePA

VIII. Authorized Official

Name: MR. EDWARD W LADELY
Title or Position: SENIOR VICE PRESIDENT AND CFO
Credential:
Phone: 610-270-2067