| Crozertaylorspringfield | |
|
1 Medical Center Blvd Chester PA 19013-3902 | |
| (610) 447-2000 | |
| (610) 619-7331 |
| Full Name | Crozertaylorspringfield |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1 Medical Center Blvd, Chester, Pennsylvania |
| Authorized Official Name and Position | Patrick Gavin (COO) |
| Authorized Official Contact | 6103388228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crozertaylorspringfield 1 Medical Center Blvd Chester PA 19013-3902 Ph: (610) 447-2000 | Crozertaylorspringfield 1 Medical Center Blvd Chester PA 19013-3902 Ph: (610) 447-2000 |
| NPI Number | 1932296696 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932296696 | NPI | - | NPPES |
| 390180 | Other | PA | TRICARE |
| 1007605830069 | Medicaid | PA | |
| 60019 | Other | PA | KEYSTONE MERCY HEALTH PLAN |
| 0001103000 | Other | PA | IBC/KEYSTONE HEALTH PLAN EAST/AMERIHEALTH |
| 135773000 | Other | PA | MAGELLAN DELCARE |
| 87726 | Other | PA | UNITED HEALTHCARE |
| 1414 | Other | PA | AETNA |
| 390180 | Other | PA | AARP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 037201 (Pennsylvania) | Primary |
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