Healthcare Provider Details

I. General information

NPI: 1376799981
Provider Name (Legal Business Name): NORTH PHILADELPHIA HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 08/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 WEST GIRARD AVENUE
PHILADELPHIA PA
19130-1615
US

IV. Provider business mailing address

1600 WEST GIRARD AVENUE
PHILADELPHIA PA
19130-1615
US

V. Phone/Fax

Practice location:
  • Phone: 215-787-9000
  • Fax: 215-787-9398
Mailing address:
  • Phone: 215-787-9000
  • Fax: 215-787-9398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: GEORGE J WALMSLEY III
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 215-787-9001