Prospect Health Access Network, Inc.

Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Chester, PA

NPI 1285081703 · NPPES record last updated Jan 15, 2021

Key facts

NPI
1285081703
Entity type
Organization (NPI type 2)
Primary specialty
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Legal business name
PROSPECT HEALTH ACCESS NETWORK, INC.
Practice address
1 Medical Center Blvd
Chester, PA 19013-3902
Phone
(610) 447-2282
Fax
(610) 447-2254
NPI assigned
May 16, 2016
Organization subpart
No

Authorized official

Name
Robert Jon Elders
Title
Secretary
Phone
(714) 788-1249

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 13

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

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160613000737 PA Part B Supplier - Clinic/Group Practice 5698065142 Receives reassigned benefits from 730 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Crozer Health Medical Group (14 organizations share this tax ID)

Locations

300 Evergreen Dr
Ste 150
Glen Mills, PA 19342
Phone (610) 328-8830

176 S New Middletown Rd
Ste 100
Media, PA 19063
Phone (610) 328-8830

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207ZP0102X Yes

Addresses

Primary practice location

1 Medical Center Blvd
Chester, PA 19013-3902

Mailing address

1 Medical Center Blvd
Chester, PA 19013-3902
Phone (610) 447-2282

Other names

  • HAN Pathology Other name

Other providers in Chester, PA

All providers in Chester, PA · Anatomic Pathology & Clinical Pathology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.