Organization
EAGLEVILLE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCGLONE (DIRECTOR FINANCE)
(267) 291-2210
Entity
Organization
Contact information
Practice address
100 EAGLEVILLE RD, EAGLEVILLE, PA 19403-1829
(610) 539-6000
(610) 539-6249
Mailing address
100 EAGLEVILLE RD, EAGLEVILLE, PA 19403-1829
(610) 539-6000
(610) 539-6249
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
051001
PA
282N00000X
General Acute Care Hospital
051001
PA
284300000X
Special Hospital
051001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001185000
INDEPENDENCE BLUE CROSS
PA
01
—
004418000
MAGELLAN BEHAVIORAL HLTH
PA
05
—
1007779290003
—
PA
01
—
106359
CBH
PA
01
—
128150
MBH OF PA, INC.
PA
01
—
EAGL1977
COMPREHENSIVE BEHAV CARE
PA
Enumeration date
12/04/2006
Last updated
02/11/2021
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