| Roxborough Memorial Hospital | |
|
5800 Ridge Ave Philadelphia PA 19128-1737 | |
| (215) 483-9900 | |
| Not Available |
| Full Name | Roxborough Memorial Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5800 Ridge Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Michael Sarrao (VICE-PRESIDENT) |
| Authorized Official Contact | 9092354400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxborough Memorial Hospital 3300 E Guasti Rd 3rd Floor Ontario CA 91761-8655 Ph: (909) 235-4400 | Roxborough Memorial Hospital 5800 Ridge Ave Philadelphia PA 19128-1737 Ph: (215) 483-9900 |
| NPI Number | 1093087157 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 05/09/2012 |
| Medicare PECOS PAC ID | 2567623994 |
|---|---|
| Medicare Enrollment ID | O20120509000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093087157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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