Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Other names
Hospital of the University of Pennsylvania
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M MCCORMICK JR. (VICE PRESIDENT FINANCE)
(215) 762-0888
Entity
Organization
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 796-4640
(609) 770-7792
Mailing address
1500 MARKET ST, UPPER MEZZANINE 600, PHILADELPHIA, PA 19102-2100
(215) 796-4640
(609) 770-7792
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QA0006X
Ambulatory Fertility Facility
—
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
273R00000X
Psychiatric Hospital Unit
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
3416A0800X
Air Ambulance
—
PA
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001258770069
—
PA
05
—
4193105
—
NJ
Enumeration date
01/16/2006
Last updated
12/15/2023
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