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Organization

DELAWARE COUNTY MEMORIAL HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK GAVIN (COO)
(610) 338-8228
Entity
Organization

Contact information

Practice address
501 NORTH LANSDOWNE AVENUE, DREXEL HILL, PA 19026
(610) 284-8100
(610) 619-7331
Mailing address
501 NORTH LANSDOWNE AVENUE, DREXEL HILL, PA 19026
(610) 284-8100

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
041801
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001104000
IBC/KEYSTONE HEALTH PLAN EAST/AMERIHEALTH
PA
05
1007725660014
PA
01
1493
AETNA
PA
01
390081
AARP
PA
01
60012
KEYSTONE MERCY HEALTH PLAN
PA
01
87726
UNITED HEALTHCARE
PA
Enumeration date
10/05/2006
Last updated
01/21/2014
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