# JEFFERSON HOSPITAL

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

## Provider details

- **NPI number:** 1548586860
- **Authorized official:** KATELYN REGAN (OFFICE OF HOUSE STAFF AFFAIRS)
- **Authorized official phone:** (215) 503-4053

## Contact information

- **Practice address:** 111 S 11TH ST, PHILADELPHIA, PA 19107-4824
- **Practice address phone:** (215) 955-6000
- **Mailing address:** 1020 SPRUCE ST APT 3F, PHILADELPHIA, PA 19107-6074
- **Mailing address phone:** (607) 329-0263

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2010
- **Last updated:** 04/12/2010