Abington Memorial Hospital
Organization Active NPI Family Medicine Physician · Lansdale, PA
NPI 1194151514 · NPPES record last updated Oct 10, 2022
Key facts
- NPI
- 1194151514
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ABINGTON MEMORIAL HOSPITAL
- Practice address
- 125 Medical Campus Dr Ste 215
Lansdale, PA 19446-7205 - Phone
- (215) 368-4434
- NPI assigned
- Sep 17, 2013
- Organization subpart
- No
Authorized official
- Name
- Michael B Walsh
- Title
- Senior V P Finance
- Phone
- (215) 481-2000
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0926994 | Primary Care Assoc of Lansdale | Certificate of waiver | Jun 1, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Abington Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1966 Jul 1, 1966 |
| Powerback Rehabilitation |
Skilled nursing facility | Adp of the SNF | Nov 1, 2014 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Hospice | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140117000433 | PA | Part B Supplier - Hospital Department(S) | 3274437736 | Practice locations: Lansdale, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | PA | Yes |
Addresses
Primary practice location
125 Medical Campus Dr Ste 215
Lansdale, PA 19446-7205
Mailing address
PO Box 826594
Philadelphia, PA 19182-6594
Phone (215) 481-3900
Other practice location 1
2026 N Broad St
Lansdale, PA 19446-1004
Phone (215) 368-4434
Other names
- North Penn Family Medical Associates
- Primary Care Associates of Lansdale
Other providers in Lansdale, PA
- 701 Lansdale Operating, LLC
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Elizabeth Abraham
- Abs Medicine LLC
All providers in Lansdale, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.