Crozer Chester Medical Center

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

391526 Issued in PA

Legal business name

CROZER CHESTER MEDICAL CENTER

Practice address

1 Medical Center Blvd
Chester, PA 19013-3902

Phone

(610) 447-2360

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Herman

Title

Finance Manager

Phone

(610) 447-2359

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CCMC Hospice Department Other name

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1295750552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER CHESTER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "610-447-2359",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "391526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007605830107",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCMC Hospice Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leslie Crosby
• Crozer Chester Medical Center
• Crozer Chester Medical Center
• Crozer Chester Medical Center
• Crozer Chester Medical Center
• Crozer Chester Medical Center
• Crozer Chester Medical Center
• Crozer Chester Medical Center
• Crozer Chester Medical Center
• Crozer Chester Medical Center

• Community Based Hospice Care Agency in Chester, PA
• Providers in Chester, PA by specialty
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.