# PRIME HEALTHCARE SERVICES ROXBOROUGH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roxborough Memorial Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083986129
- **Authorized official:** MICHAEL SARRAO (VICE-PRESIDENT)
- **Authorized official phone:** (909) 235-4400

## Contact information

- **Practice address:** 5800 RIDGE AVE, PHILADELPHIA, PA 19128-1737
- **Practice address phone:** (215) 483-9900
- **Practice address fax:** (909) 235-4419
- **Mailing address:** 5800 RIDGE AVE, PHILADELPHIA, PA 19128-1737
- **Mailing address phone:** (215) 483-9900
- **Mailing address fax:** (909) 235-4419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2012
- **Last updated:** 05/09/2012