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
Mailing address
100 EAGLEVILLE RD, EAGLEVILLE, PA 19403-1829
(610) 539-6000
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
461031
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001185000
INDEPENDENCE BLUE CROSS
PA
05
—
1007779290005
—
PA
01
—
128150
MBH OF PA
PA
01
—
88299
CBH
PA
Enumeration date
12/14/2006
Last updated
02/11/2021
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