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Organization
EAGLEVILLE HOSPITAL
Active
Organization
EAGLEVILLE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCGLONE (DIRECTOR FINANCE)
(610) 635-7040
Entity
Organization
Contact information
Practice address
100 EAGLEVILLE RD, EAGLEVILLE, PA 19403-1829
(610) 539-6000
(610) 539-6249
Mailing address
100 EAGLEVILLE RD, EAGLEVILLE, PA 19403-1829
(610) 539-6000
(610) 539-6249
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
911600
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001185000
INDEPENDENCE BLUE CROSS
PA
01
—
004418000
MAGELLAN BEHAVIORAL HLTH
PA
05
—
1007779290006
—
PA
01
—
1547740
GATEWAY HEALTH PLAN
PA
01
—
EAGL1977
COMPREHENSIVE BEHAV CARE
PA
Enumeration date
12/14/2006
Last updated
02/11/2021
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