| Prime Healthcare Services-suburban Hospital Llc | |
|
2701 Dekalb Pike East Norriton PA 19401-1820 | |
| (610) 278-2000 | |
| (610) 272-4642 |
| Full Name | Prime Healthcare Services-suburban Hospital Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2701 Dekalb Pike, East Norriton, Pennsylvania |
| Authorized Official Name and Position | Christopher Doan (CHIEF COMPLIANCE COUNSEL) |
| Authorized Official Contact | 9092354307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services-suburban Hospital Llc 2701 Dekalb Pike East Norriton PA 19401-1820 Ph: (610) 278-2000 | Prime Healthcare Services-suburban Hospital Llc 2701 Dekalb Pike East Norriton PA 19401-1820 Ph: (610) 278-2000 |
| NPI Number | 1356718787 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 04/27/2016 |
| Medicare PECOS PAC ID | 8123329463 |
|---|---|
| Medicare Enrollment ID | O20151210002549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356718787 | NPI | - | NPPES |
| 100727702 | Medicaid | PA | |
| 103075750 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 1972011 (Pennsylvania) | Primary |
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