MEDICARE: TEMPLE UNIVERSITY HOSPITAL, INC

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	3336S0011X	Specialty Pharmacy
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PP482693	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2166402	OTHER		PK

General Provider Information

NPI Number	:	1295278786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPLE UNIVERSITY HOSPITAL, INC

Provider Business Mailing Address
First Line	:	333 COTTMAN AVE # P1001
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2434
Country	:	US
Telephone Number	:	215-728-3178
Fax Number	:	215-214-4206

Provider Business Practice Location Address
First Line	:	333 COTTMAN AVENUE
Second Line	:	P1001
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111
Country	:	US
Telephone Number	:	215-214-4203
Fax Number	:	215-214-4206

Authorized Official
Title or Position	:	CFO
Name	:	CHRISTOPHER SNYDER
Credential	:
Telephone Number	:	215-707-8473

Provider Enumeration Date	:	12/01/2016
Last Update Date	:	01/15/2026

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