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NPI Code Detail

MEDICARE: RIDDLE MEMORIAL HOSPITAL

MEDICARE: RIDDLE MEMORIAL HOSPITAL
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
1314000000XSkilled Nursing Facility440502PA

General Provider Information

NPI Number : 1578534244
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIDDLE MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 3803 W CHESTER PIKE STE 250
Second Line :
City : NEWTOWN SQUARE
State : PA
Zip : 19073-2336
Country : US
Telephone Number : 484-337-1814
Fax Number : 484-337-8470
Provider Business Practice Location Address
First Line : 1068 W BALTIMORE PIKE
Second Line :
City : MEDIA
State : PA
Zip : 19063-5104
Country : US
Telephone Number : 610-566-9400
Fax Number : 610-891-3592
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. MICHAEL J. BUONGIORNO
Credential :
Telephone Number : 484-337-8480
Provider Enumeration Date : 01/30/2006
Last Update Date : 12/17/2018

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1891766242 — RIDDLE MEMORIAL HOSPITAL - HB / HHA
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Practice Fax: 610-891-3592

Directions to “RIDDLE MEMORIAL HOSPITAL ” Practice Location

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