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NPI Code Detail

MEDICARE: KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION

MEDICARE: KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION
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
1251S00000XCommunity/Behavioral Health Agency860231PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144378530
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION
Provider Business Mailing Address
First Line : 136 DIAMOND ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-1721
Country : US
Telephone Number : 215-426-8100
Fax Number : 215-965-2344
Provider Business Practice Location Address
First Line : 136 DIAMOND ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-1721
Country : US
Telephone Number : 215-426-8100
Fax Number : 215-965-2344
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. EILEEN HAUSE
Credential : M.B.A.
Telephone Number : 215-426-8100
Provider Enumeration Date : 01/08/2007
Last Update Date : 02/19/2016

Similar Medicare Providers

1114953619 — KENSINGTON HOSPITAL
Practice Location Address:
136 DIAMOND ST
PHILADELPHIA, PA
19122-1721
Practice Phone: 215-426-8100
Practice Fax: 215-965-2344
1376551101 — DR. JOSE BOSSBALY M.D.
Practice Location Address:
136 DIAMOND ST
PHILADELPHIA, PA
19122-1721
Practice Phone: 215-426-8100
Practice Fax: 215-965-2344
1770592438 — DR. NIMIDIA OVIEDO M.D.
Practice Location Address:
136 DIAMOND ST
PHILADELPHIA, PA
19122-1721
Practice Phone: 215-426-8100
Practice Fax: 215-965-2344
1922156314 — KENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM
Practice Location Address:
136 DIAMOND ST
PHILADELPHIA, PA
19122-1721
Practice Phone: 215-426-8100
Practice Fax: 215-965-2344
1720136112 — KENSINGTON HOSPITAL- CAMBRIA CLINIC
Practice Location Address:
136 DIAMOND ST
PHILADELPHIA, PA
19122-1721
Practice Phone: 215-426-8100
Practice Fax: 215-965-2344
1710036041 — KENSINGTON HOSPITAL- ERIE MEDICAL CENTER
Practice Location Address:
136 DIAMOND ST
PHILADELPHIA, PA
19122-1721
Practice Phone: 215-426-8100
Practice Fax: 215-965-2344

Directions to “KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION ” Practice Location

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