Organization
TEMPLE EAST, INC.
Active
Other names
Northeastern Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BUCKLEY (CEO)
(215) 291-3401
Entity
Organization
Contact information
Practice address
2301 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4427
(215) 291-3000
(215) 291-3418
Mailing address
2301 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4427
(215) 291-3000
(215) 291-3418
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001027000
ALL BLUE CROSS PRODUCTS
PA
05
—
1007554850005
—
PA
01
—
11306
HEALTHPARTNERS PROV ID NO
PA
01
—
1438
AETNA PROV ID NUMBER
PA
01
—
46267
KEYSTONEMERCY PROV ID NO
PA
Enumeration date
07/20/2006
Last updated
08/22/2020
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