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NPI Code Detail

MEDICARE: POTTSTOWN HOSPITAL COMPANY LLC

MEDICARE: POTTSTOWN 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
1207Q00000XFamily Medicine PhysicianPA

Other Identifiers

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

General Provider Information

NPI Number : 1760484539
Entity Type Code : Organization
Provider Name (Legal Business Name) : POTTSTOWN HOSPITAL COMPANY LLC
Provider Business Mailing Address
First Line : 730 S HANOVER ST
Second Line :
City : POTTSTOWN
State : PA
Zip : 19465-7520
Country : US
Telephone Number : 610-323-6835
Fax Number : 610-323-4154
Provider Business Practice Location Address
First Line : 730 S HANOVER ST
Second Line :
City : POTTSTOWN
State : PA
Zip : 19465-7520
Country : US
Telephone Number : 610-323-6835
Fax Number : 610-323-4154
Authorized Official
Title or Position : PRESIDENT
Name : GARY DOUGLAS NEWSOME
Credential :
Telephone Number : 615-373-9600
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/21/2022

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Directions to “POTTSTOWN HOSPITAL COMPANY LLC ” Practice Location

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