Organization
TENET HEALTHSYSTEM GRADUATE, LLC
Active
Other names
Graduate Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET)
(818) 436-2267
Entity
Organization
Contact information
Practice address
1800 LOMBARD ST, PHILADELPHIA, PA 19146-8400
(215) 893-2000
Mailing address
PO BOX 828120, PHILADELPHIA, PA 19182-8120
(215) 255-3152
(215) 893-2302
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
073001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000418
HUMANA
—
01
—
000841822
AETNA US HEALTHCARE
—
05
—
010055148
—
VA
05
—
01999637
—
NY
05
—
0390285
—
VT
05
—
1000017120
—
DE
05
—
1001275950004
—
PA
05
—
1001275950006
—
PA
05
—
11038A
—
SC
05
—
11233B
—
SC
01
—
15624
HEALTH PARTNERS
—
01
—
2309
INDEPENDENCE BLUE CROSS
—
05
—
37137100
—
DC
05
—
3900285
—
NC
01
—
60009
KEYSTONE MERCY HEALTH PLA
—
05
—
802-9709
—
NJ
05
—
9517502 00
—
MD
05
—
GRA0285N
—
IN
01
—
X000483602
AMERICHOICE NEW JERSEY
—
Enumeration date
07/05/2006
Last updated
03/15/2021
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