Active NPI
Delaware County Memorial Hospital
- General Acute Care Hospital
- Drexel Hill, PA
National Provider Identifier
1073606737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 041801
- Legal business name
- DELAWARE COUNTY MEMORIAL HOSPITAL
- Practice address
- 501 North Lansdowne Avenue
Drexel Hill, PA 19026 - Phone
- (610) 284-8100
- Fax
- (610) 619-7331
- NPI assigned
- Oct 2, 2006
- Last updated
- Feb 18, 2015
- 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. Patrick J. Gavin
- Title
- Coo
- Phone
- (610) 338-8225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 041801 | PA | Primary |
Addresses
Primary practice location
501 North Lansdowne Avenue
Drexel Hill, PA 19026
Mailing address
501 North Lansdowne Avenue
Drexel Hill, PA 19026
Phone (610) 284-8100
Other identifiers 23
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390081 | Other | PA | AARP |
| 390081 | Other | PA | KINDRED HOSPITAL |
| 390081 | Other | PA | THREE RIVERS NETWORK |
| 129502 | Other | MAGELLAN | |
| 25152 | Other | PA | ADVANTRA FREEDOM |
| 62308 | Other | PA | CIGNA |
| 1007725660016 | Medicaid | PA | |
| 262730 | Other | PA | MAMSI |
| 390081 | Other | AMERIHEALTH DELCO | |
| 60012 | Other | PA | HORIZON MERCY |
| 00011 | Other | PA | HEALTH PARTNERS |
| 1007725660003 | Medicaid | PA | |
| 4191404 | Medicaid | NJ | |
| 60012 | Other | KEYSTONE MERCY HEALTH PLA | |
| 60012 | Other | PA | KEYSTONE MERCY HEALTH PLAN |
| 1493 | Other | PA | AETNA |
| 87726 | Other | PA | UNITED HEALTHCARE |
| 0001493 | Other | AUSHC | |
| 390081 | Other | AMERIHEALTH TPA | |
| H06015 | Other | PA | OXFORD |
| 0001104000 | Other | PA | IBC/KEYSTONE HEALTH PLAN EAST/AMERIHEALTH |
| 86033 | Other | PA | CIGNA MEDICARE ACCESS |
| IY0111 | Other | PA | BRAVO ELDERHEALTH/HEALTH NET |
National Provider Directory
National Provider Directory- Tax ID family
- Delaware County Memorial Hospital
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba CKHS Hospice
- Community Based Hospice Care Agency
- Springfield, PA
- NPI 1689699936
-
- Rehabilitation Hospital Unit
- Drexel Hill, PA
- NPI 1356437420
-
- Ambulance
- Drexel Hill, PA
- NPI 1386786648
-
dba DCMH Home Care
- Home Health Agency
- Springfield, PA
- NPI 1750314308
-
- Ambulatory Surgical Clinic/Center
- Drexel Hill, PA
- NPI 1932261278
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2ff937d5-49c0-4d88-b923-0f5bdcf3b04f/
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Watsonville, CA
- NPI 1083093553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424217600000",
"number": "1073606737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 NORTH LANSDOWNE AVENUE",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "19026",
"telephone_number": "610-284-8100",
"fax_number": "610-619-7331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 NORTH LANSDOWNE AVENUE",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "19026",
"telephone_number": "610-284-8100",
"fax_number": "610-619-7331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2015-02-18",
"status": "A",
"authorized_official_last_name": "GAVIN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "610-338-8225",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PA",
"license": "041801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "390081",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KINDRED HOSPITAL",
"identifier": "390081",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS NETWORK",
"identifier": "390081",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "129502",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTRA FREEDOM",
"identifier": "25152",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "62308",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007725660016",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "262730",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH DELCO",
"identifier": "390081",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON MERCY",
"identifier": "60012",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "00011",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007725660003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4191404",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLA",
"identifier": "60012",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLAN",
"identifier": "60012",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1493",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "87726",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUSHC",
"identifier": "0001493",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH TPA",
"identifier": "390081",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "H06015",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC/KEYSTONE HEALTH PLAN EAST/AMERIHEALTH",
"identifier": "0001104000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE ACCESS",
"identifier": "86033",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO ELDERHEALTH/HEALTH NET",
"identifier": "IY0111",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.