MEDICARE: NORTH PHILADELPHIA HEALTH SYSTEM

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	208M00000X	Hospitalist Physician

General Provider Information

NPI Number	:	1376799981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH PHILADELPHIA HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	1600 WEST GIRARD AVENUE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-1615
Country	:	US
Telephone Number	:	215-787-9000
Fax Number	:	215-787-9398

Provider Business Practice Location Address
First Line	:	1600 WEST GIRARD AVENUE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-1615
Country	:	US
Telephone Number	:	215-787-9000
Fax Number	:	215-787-9398

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	GEORGE J WALMSLEY III
Credential	:
Telephone Number	:	215-787-9001

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	08/14/2008

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