| Hospital Of The University Of Pennsylvania | |
|
3400 Spruce St Philadelphia PA 19104-4206 | |
| (215) 796-4640 | |
| (609) 770-7792 |
| Full Name | Hospital Of The University Of Pennsylvania |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 3400 Spruce St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Thomas M Mccormick (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 2157620888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Of The University Of Pennsylvania 1500 Market St Upper Mezzanine 600 Philadelphia PA 19102-2100 Ph: (215) 796-4640 | Hospital Of The University Of Pennsylvania 3400 Spruce St Philadelphia PA 19104-4206 Ph: (215) 796-4640 |
| NPI Number | 1851370910 |
|---|---|
| Provider Enumeration Date | 01/16/2006 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Medicare PECOS PAC ID | 2062326507 |
|---|---|
| Medicare Enrollment ID | O20080105000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851370910 | NPI | - | NPPES |
| 1001258770069 | Medicaid | PA | |
| 4193105 | Medicaid | NJ |
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