Organization
GOOD SHEPHERD PENN PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN CHANCLER (SITE SUPERVISOR)
(215) 662-3260
Entity
Organization
Contact information
Practice address
3400 SPRUCE ST, 1 WHITE BUILDING, PHILADELPHIA, PA 19104-4238
(215) 662-3260
Mailing address
3400 SPRUCE ST, 1 WHITE BUILDING, PHILADELPHIA, PA 19104-4238
(215) 662-3260
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
PT022857
PA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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