NPIMap

Organization Active NPI

Philadelphia Veterans Affairs Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Philadelphia, PA
National Provider Identifier
1073763413
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
SW000497E Issued in PA
Legal business name
PHILADELPHIA VETERANS AFFAIRS MEDICAL CENTER
Practice address
3900 Woodland Ave
Philadelphia, PA 19104
Phone
(215) 823-5800
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Mr. Kurt S Quemore, MSW,LSW
Title
Medical Social Worker
Phone
(610) 937-9687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X SW000497E PA Primary

Addresses

Primary practice location

3900 Woodland Ave
Philadelphia, PA 19104

Mailing address

3900 Woodland Ave
Philadelphia, PA 19104
Phone (215) 823-5800

National Provider Directory

National Provider Directory
Tax ID family
Philadelphia Vamc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1073763413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-823-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-823-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA VETERANS AFFAIRS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "QUEMORE",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "610-937-9687",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW,LSW"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "PA",
            "license": "SW000497E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.