MEDICARE: PHOENIXVILLE HOSPITAL, LLC

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	207RH0003X	Hematology & Oncology Physician

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

General Provider Information

NPI Number	:	1346961588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENIXVILLE HOSPITAL, LLC

Provider Business Mailing Address
First Line	:	PO BOX 13579
Second Line	:
City	:	READING
State	:	PA
Zip	:	19612-3579
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	824 MAIN ST STE 101
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-4478
Country	:	US
Telephone Number	:	610-983-1800
Fax Number	:

Authorized Official
Title or Position	:	VP OF REVENUE INTEGRITY
Name	:	CHARLES MICHAEL VALENTINO JR.
Credential	:
Telephone Number	:	484-628-9380

Provider Enumeration Date	:	09/07/2022
Last Update Date	:	06/02/2026

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Directions to “PHOENIXVILLE HOSPITAL, LLC ” Practice Location

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