# THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pennsylvania Hospital Skilled Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184692121
- **Authorized official:** MR. THOMAS MCCORMICK JR. (AVP FINANCE)
- **Authorized official phone:** (215) 796-4640

## Contact information

- **Practice address:** 800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
- **Practice address phone:** (215) 796-4640
- **Practice address fax:** (609) 770-7792
- **Mailing address:** 1500 MARKET ST, UPPER MEZZENANINE 600, PHILADELPHIA, PA 19102-2100
- **Mailing address phone:** (215) 796-4640
- **Mailing address fax:** (609) 770-7792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 03/30/2023