Healthcare Provider Details

I. General information

NPI: 1639082241
Provider Name (Legal Business Name): CHRISTIANA CARE EMERUS NEIGHBORHOOD HOSPITAL PENNSYLVANIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 N STATE RD STE 100
SPRINGFIELD PA
19064
US

IV. Provider business mailing address

8686 NEW TRAILS DR STE 100
THE WOODLANDS TX
77381-1195
US

V. Phone/Fax

Practice location:
  • Phone: 713-929-2076
  • Fax:
Mailing address:
  • Phone: 713-929-2076
  • Fax: 832-218-7022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TINA JOHNSON
Title or Position: SR MED STAFF AND PROV ENROLLMENT CO
Credential:
Phone: 713-929-2076