Organization
JEANES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY LEFTON (CFO)
(215) 728-3306
Entity
Organization
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 728-3306
(215) 728-3322
Mailing address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 728-3306
(215) 728-3322
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
101301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001015000
BLUE CROSS PROVIDER #
PA
05
—
1005061110008
—
PA
01
—
1468
AETNA HMO
PA
Enumeration date
06/15/2005
Last updated
09/15/2015
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