# PVAMC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942466313
- **Authorized official:** MRS. CHARMAINE SUZETTE JONES PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (215) 823-6068

## Contact information

- **Practice address:** 3800 WOODLAND AVE, PHILADELPHIA, PA 19104
- **Practice address phone:** (215) 823-5800
- **Practice address fax:** (215) 823-4248
- **Mailing address:** 3800 WOODLAND AVE, PHILADELPHIA, PA 19104
- **Mailing address phone:** (215) 823-5800
- **Mailing address fax:** (215) 823-4248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | MA000787L | PA | Yes |

## Other

- **Enumeration date:** 08/05/2008
- **Last updated:** 08/05/2008