CHS Pennsylvania Medical, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHS PENNSYLVANIA MEDICAL, P.C.

Doing business as

Altria Health Center

Practice address

418 W Church Rd
King of Prussia, PA 19406-3134

Phone

(610) 792-8425

NPI assigned

Oct 16, 2012

Organization subpart

Yes

Parent organization

CHS HEALTH SERVICES, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stuart Clark

Title

Executive VP

Phone

(615) 577-4927

Specialties & licenses 1

Addresses

Other names 1

• Altria Health Center Doing business as

Tax ID family

Altria Health Center3 organizations share this tax ID, including this one

Part of

Google Wellness Center 321

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• CHS Pennsylvania Medical, PC

  • General Practice Physician
  • Limerick, PA
  • NPI 1790038750
  NPD tax ID
• CHS Pennsylvania Medical, P.C.

  • General Practice Physician
  • Brentwood, TN
  • NPI 1073935599
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1063765030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "address_2": "STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 W CHURCH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063134",
            "telephone_number": "610-792-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS PENNSYLVANIA MEDICAL, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES, LLC",
        "enumeration_date": "2012-10-16",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "615-577-4927"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altria Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Childrens Hospital of Philadelphia
• Childrens Hospital of Philadelphia
• Aruna Chivukula, M.D.
• Jaclyn Chmielewski
• Amber Christian, BCBA
• Myron Chu, D.O.
• Jenna Jane Chung, DMD
• Ciccarone Chiropractic Care Center, Inc
• Rita Anne Ciccarone, D.C.
• Jaclyn S Cimiluca I, RDN

• General Practice Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.