| Chestnut Hill Hosital | |
|
8835 Germantown Ave Philadelphia PA 19118-2718 | |
| (215) 248-8200 | |
| Not Available |
| Full Name | Chestnut Hill Hosital |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 8835 Germantown Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Gary Newsome (PRESIDENT GROUP OPERATIONS) |
| Authorized Official Contact | 6154657000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Hill Hosital Po Box 504148 Saint Louis MO 63150-0001 Ph: (215) 248-8200 | Chestnut Hill Hosital 8835 Germantown Ave Philadelphia PA 19118-2718 Ph: (215) 248-8200 |
| NPI Number | 1093921231 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093921231 | NPI | - | NPPES |
| 1013151970003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036101 (Pennsylvania) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | 036101 (Pennsylvania) | Primary |
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