NPIMap

Organization Active NPI

Crozer-Keystone Health System

  • General Acute Care Hospital
  • Springfield, PA
National Provider Identifier
1073770012
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
037201 Issued in PA
Legal business name
CROZER-KEYSTONE HEALTH SYSTEM
Practice address
190 W Sproul Rd
Springfield, PA 19064-2027
Phone
(610) 328-8700
Fax
(610) 447-6620
NPI assigned
May 19, 2008
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Mr. Patrick Gavin
Title
Coo
Phone
(610) 338-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 037201 PA Primary

Addresses

Primary practice location

190 W Sproul Rd
Springfield, PA 19064-2027

Mailing address

190 W Sproul Rd
Springfield, PA 19064-2027
Phone (610) 328-8700

Other identifiers 1

IdentifierTypeStateIssuer
484029OtherPAAETNA

National Provider Directory

National Provider Directory
Tax ID family
Crozer-Chester Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

190 W Sproul Rd
Springfield, PA 19064
Phone (215) 442-5085

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1073770012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642027",
            "telephone_number": "610-328-8700",
            "fax_number": "610-447-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642027",
            "telephone_number": "610-328-8700",
            "fax_number": "610-447-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER-KEYSTONE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-338-8228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "037201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "484029",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.