# UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366869166
- **Authorized official:** DR. GEOFFREY OTIENO OUMA D.O., MSC (PHYSICIAN)
- **Authorized official phone:** (301) 233-0014

## Contact information

- **Practice address:** 51 N 39TH ST, PHILADELPHIA, PA, PHILADELPHIA, PA 19104-2640
- **Practice address phone:** (219) 662-8900
- **Mailing address:** 1629 W MATISSE DR, MIDDLETOWN, DE 19709-9836
- **Mailing address phone:** (301) 233-0014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | OS014834 | PA | — |
| 281P00000X | Chronic Disease Hospital | OS014834 | PA | — |
| 282N00000X | General Acute Care Hospital | OS014834 | PA | Yes |

## Other

- **Enumeration date:** 03/18/2014
- **Last updated:** 03/18/2014