Organization
PENNSYLVANIA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MCCORMICK (ASSISTANCE VICE PRESIDENT)
(215) 762-0888
Entity
Organization
Contact information
Practice address
829 SPRUCE ST, PHILA, PA 19107-5752
(215) 796-4640
(215) 762-0754
Mailing address
1500 MARKET ST, UM 600, PHILA, PA 19102-2100
(215) 762-0888
(215) 762-0754
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000049150009
—
PA
05
—
1000049150010
—
PA
Enumeration date
01/10/2007
Last updated
03/30/2023
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