MEDICARE: ABINGTON MEMORIAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1033536859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABINGTON MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	2500 MARYLAND RD
Second Line	:	SUITE 400
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1216
Country	:	US
Telephone Number	:	215-481-3900
Fax Number	:	215-481-6790

Provider Business Practice Location Address
First Line	:	1820 BETHLEHEM PIKE
Second Line	:
City	:	FLOURTOWN
State	:	PA
Zip	:	19031-1504
Country	:	US
Telephone Number	:	215-836-1354
Fax Number	:	215-836-2605

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT FINANCE
Name	:	MICHAEL B WALSH
Credential	:
Telephone Number	:	215-481-2850

Provider Enumeration Date	:	03/19/2014
Last Update Date	:	05/28/2014

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