Healthcare Provider Details
I. General information
NPI: 1841325586
Provider Name (Legal Business Name): CRH OF WEST CHESTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 E MARSHALL ST
WEST CHESTER PA
19380-5412
US
IV. Provider business mailing address
7733 FORSYTH BLVD SUITE 800
SAINT LOUIS MO
63105-1817
US
V. Phone/Fax
- Phone: 314-889-2700
- Fax: 314-889-2727
- Phone: 314-889-2700
- Fax: 314-889-2727
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283X00000X |
| Taxonomy | Rehabilitation Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ANDREW
KERR
Title or Position: CFO, CENTERRE HEALTHCARE
Credential:
Phone: 314-889-2726