Healthcare Provider Details

I. General information

NPI: 1356313464
Provider Name (Legal Business Name): CHHS HOSPITAL COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 08/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8835 GERMANTOWN AVE
PHILADELPHIA PA
19118-2718
US

IV. Provider business mailing address

PO BOX 504148
SAINT LOUIS MO
63150-4148
US

V. Phone/Fax

Practice location:
  • Phone: 215-248-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number036101
License Number StatePA

VIII. Authorized Official

Name: PUALA M LALOR
Title or Position: DIRECTOR /DELEGATED OFFICIAL
Credential:
Phone: 615-925-4565