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Organization

EAGLEVILLE HOSPITAL

Active
Parent organization
EAGLEVILLE HOSPITAL
Other names
EAGLEVILLE MEDICAL ASSOCIATES
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAGLEVILLE HOSPITAL
Authorized official
LAUREN BLANCHARD (DIRECTOR PATIENT ACCOUNTS)
(610) 539-6000
Entity
Organization

Contact information

Practice address
100 EAGLEVILLE RD, EAGLEVILLE, PA 19403-1829
(610) 539-6000
Mailing address
100 EAGLEVILLE RD, EAGLEVILLE, PA 19403-1829
(610) 539-6000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
207R00000X
Internal Medicine Physician
207RA0401X
Addiction Medicine (Internal Medicine) Physician

Other

Enumeration date
07/28/2009
Last updated
02/11/2021
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