NPIMap

Organization Active NPI

Crozer Chester Medical Center

  • Clinic/Center
  • Chester, PA
National Provider Identifier
1144576091
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MT202958 Issued in PA
Legal business name
CROZER CHESTER MEDICAL CENTER
Practice address
1 Medical Center Blvd
Acp 332
Chester, PA 19013-3902
Phone
(610) 447-7612
Fax
(610) 447-7615
NPI assigned
Jul 30, 2012
Last updated
Jul 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Dr. David Hadley, MD
Title
Program Director
Phone
(610) 447-7612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MT202958 PA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Acp 332
Chester, PA 19013-3902

Mailing address

1 Medical Center Blvd
Acp 332
Chester, PA 19013-3902
Phone (610) 447-7612

National Provider Directory

National Provider Directory
Tax ID family
Crozer Keystone Health System5 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.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1144576091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "ACP 332",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-7612",
            "fax_number": "610-447-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "ACP 332",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-7612",
            "fax_number": "610-447-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER CHESTER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "610-447-7612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MT202958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.