Active NPI
Tenet Healthsystem Graduate, LLC
- General Acute Care Hospital
- Philadelphia, PA
National Provider Identifier
1023048717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 073001
- Legal business name
- TENET HEALTHSYSTEM GRADUATE, LLC
- Practice address
- 1800 Lombard St
Philadelphia, PA 19146-8400 - Phone
- (215) 893-2000
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig C. Armin
- Title
- VP of Govt Programs, Tenet
- Phone
- (818) 436-2267
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| General Acute Care Hospital | 282N00000X | 073001 | PA | Primary |
Addresses
Primary practice location
1800 Lombard St
Philadelphia, PA 19146-8400
Mailing address
PO Box 828120
Philadelphia, PA 19182-8120
Phone (215) 255-3152
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000418 | Other | HUMANA | |
| 15624 | Other | HEALTH PARTNERS | |
| X000483602 | Other | AMERICHOICE NEW JERSEY | |
| 01999637 | Medicaid | NY | |
| 1001275950006 | Medicaid | PA | |
| GRA0285N | Medicaid | IN | |
| 1000017120 | Medicaid | DE | |
| 11038A | Medicaid | SC | |
| 0390285 | Medicaid | VT | |
| 1001275950004 | Medicaid | PA | |
| 37137100 | Medicaid | DC | |
| 11233B | Medicaid | SC | |
| 2309 | Other | INDEPENDENCE BLUE CROSS | |
| 3900285 | Medicaid | NC | |
| 9517502 00 | Medicaid | MD | |
| 000841822 | Other | AETNA US HEALTHCARE | |
| 010055148 | Medicaid | VA | |
| 60009 | Other | KEYSTONE MERCY HEALTH PLA | |
| 802-9709 | Medicaid | NJ |
Other names 1
- Graduate Hospital
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Skilled Nursing Facility
- Philadelphia, PA
- NPI 1700811668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615766400000",
"number": "1023048717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 828120",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191828120",
"telephone_number": "215-255-3152",
"fax_number": "215-893-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 LOMBARD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191468400",
"telephone_number": "215-893-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENET HEALTHSYSTEM GRADUATE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A",
"authorized_official_last_name": "ARMIN",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "VP OF GOVT PROGRAMS, TENET",
"authorized_official_telephone_number": "818-436-2267",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PA",
"license": "073001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000418",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "15624",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE NEW JERSEY",
"identifier": "X000483602",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01999637",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001275950006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GRA0285N",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000017120",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11038A",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0390285",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001275950004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37137100",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11233B",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2309",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3900285",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9517502 00",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "000841822",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010055148",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLA",
"identifier": "60009",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "802-9709",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Graduate Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Graduate Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Philadelphia, PA
- Tenet Health System Hahnemann, LLC
- Tenet Health System Hahnemann, LLC
- Tenet Health System Hahnemann, LLC
- Tenet Health System Hahnemann, LLC
- Tenet Health Systems
- Tenet Healthsystem Graduate, LLC
- Tenet Healthsystem St. Christopher'S Hospital for Children, LLC
- Tenet Healthsystem St. Christopher'S Hospital for Children, LLC
- Tenet Hlsy Hahnemann LLC
- Quinn William Tenfelde, PHARM.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.