| Thomas Jefferson University Hospitals Inc | |
|
111 S 11th St 2210 Gibbon Building Philadelphia PA 19107-4824 | |
| (215) 955-7106 | |
| (215) 955-8732 |
| Full Name | Thomas Jefferson University Hospitals Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 111 S 11th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Neil Lubarsky (SENIOR VICE PRESIDENT FOR FINANCE) |
| Authorized Official Contact | 2159559895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Jefferson University Hospitals Inc Po Box 85009895 Philadelphia PA 19178-0001 Ph: (215) 955-7106 | Thomas Jefferson University Hospitals Inc 111 S 11th St 2210 Gibbon Building Philadelphia PA 19107-4824 Ph: (215) 955-7106 |
| NPI Number | 1124038799 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8123080868 |
|---|---|
| Medicare Enrollment ID | O20121002000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124038799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 200801 (Pennsylvania) | Primary |
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