| The Pennsylvania Hospital Of The University Of Pennsylvania Health Sys | |
|
800 Spruce St Phila PA 19107-6130 | |
| (215) 796-4640 | |
| (215) 762-0754 |
| Full Name | The Pennsylvania Hospital Of The University Of Pennsylvania Health Sys |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 800 Spruce St, Phila, Pennsylvania |
| Authorized Official Name and Position | Thomas Mccormick (AVP FINANCE) |
| Authorized Official Contact | 2157620888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pennsylvania Hospital Of The University Of Pennsylvania Health Sys 1500 Market St Upper Mezenine 600 Philadelphia PA 19102-2100 Ph: (215) 796-4640 | The Pennsylvania Hospital Of The University Of Pennsylvania Health Sys 800 Spruce St Phila PA 19107-6130 Ph: (215) 796-4640 |
| NPI Number | 1306814348 |
|---|---|
| Provider Enumeration Date | 03/08/2006 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 6305927229 |
|---|---|
| Medicare Enrollment ID | O20080117000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306814348 | NPI | - | NPPES |
| 1000049150005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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