Organization
COATESVILLE HOSPITAL CORPORATION
Active
Other names
Brandywine Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
201 REECEVILLE RD, COATESVILLE, PA 19320-1542
(610) 383-8000
Mailing address
PO BOX 503540, SAINT LOUIS, MO 63150-0001
(610) 383-8000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
025801
PA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
025801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100775129001
—
PA
Enumeration date
05/17/2007
Last updated
09/13/2017
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