MEDICARE: HOLY REDEEMER 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	251S00000X	Community/Behavioral Health Agency	710405	PA
2	251E00000X	Home Health Agency	710405	PA

General Provider Information

NPI Number	:	1972577617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLY REDEEMER HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	12265 TOWNSEND ROAD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-1214
Country	:	US
Telephone Number	:	800-346-6462
Fax Number	:	215-671-9708

Provider Business Practice Location Address
First Line	:	12265 TOWNSEND ROAD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-1214
Country	:	US
Telephone Number	:	800-346-6462
Fax Number	:	215-671-9708

Authorized Official
Title or Position	:	VP FINANCE
Name	:	MR. GEORGE W HAMILTON
Credential	:
Telephone Number	:	215-698-3726

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	10/03/2022

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Directions to “HOLY REDEEMER HEALTH SYSTEM ” Practice Location

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