NPIMap

Organization Active NPI

Crozer-Chester Medical Center

  • Rehabilitation Hospital Unit
  • Upland, PA
National Provider Identifier
1265529705
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
037201 Issued in PA
Legal business name
CROZER-CHESTER MEDICAL CENTER
Practice address
One Medical Center Boulevard
Upland, PA 19013
Phone
(610) 447-2000
Fax
(610) 619-7331
NPI assigned
Oct 6, 2006
Organization subpart
Yes
Parent organization
CROZER/TAYLOR/SPRINGFIELDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 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
Rehabilitation Hospital Unit 273Y00000X 037201 PA Primary

Addresses

Primary practice location

One Medical Center Boulevard
Upland, PA 19013

Mailing address

One Medical Center Boulevard
Upland, PA 19013
Phone (610) 447-2000

Other identifiers 8

IdentifierTypeStateIssuer
1007605830106MedicaidPA
135773000OtherPAMAGELLAN DELCARE
1414OtherPAAETNA
0001103000OtherPAIBC/KEYSTONE HEALTH PLAN EAST/AMERIHEALTH
87726OtherPAUNITED HEALTHCARE
390180OtherPAAARP
390180OtherPATRICARE
60019OtherPAKEYSTONE MERCY HEALTH PLAN

Other names 1

  • CrozerTaylorSpringfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prospect CCMC LLC26 organizations share this tax ID, including this one
Part of
Crozer Chester Medical

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1265529705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BOULEVARD",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-447-2000",
            "fax_number": "610-619-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BOULEVARD",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-447-2000",
            "fax_number": "610-619-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER-CHESTER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROZER/TAYLOR/SPRINGFIELD",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-01-21",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "PA",
            "license": "037201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007605830106",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN DELCARE",
            "identifier": "135773000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1414",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC/KEYSTONE HEALTH PLAN EAST/AMERIHEALTH",
            "identifier": "0001103000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "87726",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "390180",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "390180",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLAN",
            "identifier": "60019",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CrozerTaylorSpringfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.