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NPI Code Detail

MEDICARE: PHOENIXVILLE HOSPITAL COMPANY LLC

MEDICARE: PHOENIXVILLE HOSPITAL COMPANY 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
1282N00000XGeneral Acute Care Hospital420901PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130015979OTHERKEYSTONE MERCY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31483OTHERAETNA
435065OTHERHEALTHPARTNERS
5000139500OTHERBCBS
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8X002835401OTHERAMERICHOICE

General Provider Information

NPI Number : 1528039039
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHOENIXVILLE HOSPITAL COMPANY LLC
Provider Business Mailing Address
First Line : PO BOX 504060
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63150-4060
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 140 NUTT RD
Second Line :
City : PHOENIXVILLE
State : PA
Zip : 19460-3906
Country : US
Telephone Number : 610-983-1000
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : LAURIE HOLTSFORD
Credential :
Telephone Number : 615-465-7466
Provider Enumeration Date : 02/01/2006
Last Update Date : 07/31/2012

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Practice Location Address:
140 NUTT RD , PHOENIXVILLE HOSPITAL
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19460-3906
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Practice Fax: 302-651-4945

Directions to “PHOENIXVILLE HOSPITAL COMPANY LLC ” Practice Location

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