Penrose Medical Center, Inc in Philadelphia - Primary Care
Penrose Medical Center, Inc - NPI 1417132929
Penrose Medical Center, Inc is a Primary Care in Philadelphia, Pennsylvania. Penrose Medical Center, Inc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Penrose Medical Center, Inc is 1417132929. The last update date is 2015-11-19.
Penrose Medical Center, Inc's current location address is 1603 E Wadsworth Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152422439 and fax number 2152422596. The mailing address for Penrose Medical Center, Inc is 1603 E Wadsworth Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Penrose Medical Center, Inc |
|---|---|
| Address | 1603 E Wadsworth Ave, Philadelphia, Pennsylvania |
| Phone Number | 2152422439 |
| Fax Number | 2152422596 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Coachi P Daniel |
| Credentials | M.D |
| Telephone Number | 2152768788 |
NPI Number Detail
| NPI Number | 1417132929 |
|---|---|
| Provider Enumeration Date | 2008-01-03 |
| Last Updated Date | 2015-11-19 |
Provider Mailing Address Detail
| Address | 1603 E Wadsworth Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191501019 |
| Phone Number | 2152422439 |
| Fax Number | 2152422596 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | MD066378L |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17863200005 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Penrose Medical Center, Inc by the Centers for Medicare & Medicaid Services?
The Penrose Medical Center, Inc has been assigned the NPI (National Provider Identifier) 1417132929 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Penrose Medical Center, Inc?
The Penrose Medical Center, Inc is situated at 1603 E Wadsworth Ave, in the city of Philadelphia, state of PA, with the zip code 191501019.
What is Penrose Medical Center, Inc's area of expertise and its corresponding taxonomy classification?
The Penrose Medical Center, Inc's field of specialization is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their areas of practice.
On what date did Penrose Medical Center, Inc receive its 1417132929 assignment from the Centers for Medicare & Medicaid Services?
The Penrose Medical Center, Inc was assigned its 1417132929 on 2008-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Penrose Medical Center, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Penrose Medical Center, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-19.
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