Active NPI
The Nemours Foundation
- Multi-Specialty Clinic/Center
- Malvern, PA
National Provider Identifier
1336919083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- THE NEMOURS FOUNDATION
- Practice address
- Uptown Worthington 30 Worthington Boulevard
Malvern, PA 19355 - Phone
- (302) 651-5204
- NPI assigned
- Jan 4, 2024
- Last updated
- Feb 10, 2025
- Organization subpart
- Yes
- Parent organization
- THE NEMOURS FOUNDATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Mumford
- Title
- Executive VP, Coo
- Phone
- (302) 651-6890
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
Uptown Worthington 30 Worthington Boulevard
Malvern, PA 19355
Mailing address
PO Box 404016
Atlanta, GA 30384-4016
Other names 1
- Nemours Children's Hospital, Surgery Center, Malvern
National Provider Directory
National Provider Directory- Tax ID family
- Nemours Children's Health Fort Walton Beach Specialty Care
- Part of
- Nemours Children's Health Fort Walton Beach Specialty Care
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Ambulatory Surgical Clinic/Center
- Bryn Mawr, PA
- NPI 1740790484
Locations
30 Worthington Blvd
Malvern, PA 19355
Phone (302) 651-5204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739145600000",
"number": "1336919083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 404016",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303844016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UPTOWN WORTHINGTON 30 WORTHINGTON BOULEVARD",
"city": "MALVERN",
"state": "PA",
"postal_code": "19355",
"telephone_number": "302-651-5204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NEMOURS FOUNDATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE NEMOURS FOUNDATION",
"enumeration_date": "2024-01-04",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A",
"authorized_official_last_name": "MUMFORD",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "EXECUTIVE VP, COO",
"authorized_official_telephone_number": "302-651-6890"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nemours Children's Hospital, Surgery Center, Malvern",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Nemours Children's Hospital, Surgery Center, Malvern",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Malvern, PA
- The Devereux Foundation (Community Services of Devereux)
- The Devereux Foundation
- The Devereux Foundation
- The Devereux Foundation (Community Services of Devereux)
- The Devereux Foundation
- Beth A Therien, M.S. ED., BCBA
- David James Thomas, D.C.
- Jolynn Thomas, MS, CCC-SLP
- Lily Barbara Thomas, MSS, LCSW
- Mini Thomas, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.