Healthcare Provider Details

I. General information

NPI: 1922489533
Provider Name (Legal Business Name): HOHNEMANN UNIVERSITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 06/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N 15TH ST # MS 420
PHILADELPHIA PA
19102-1101
US

IV. Provider business mailing address

245 N 15TH ST # MS 420
PHILADELPHIA PA
19102-1101
US

V. Phone/Fax

Practice location:
  • Phone: 215-762-7000
  • Fax:
Mailing address:
  • Phone: 215-762-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number208991
License Number StatePA

VIII. Authorized Official

Name: SANDRA ERBY
Title or Position: RESIDENT COORDINATOR
Credential:
Phone: 215-762-7000