Beaumont Retirement Services, Inc.

Organization Active NPI Clinic/Center · Bryn Mawr, PA

NPI 1346498532 · NPPES record last updated Dec 23, 2008

Key facts

NPI
1346498532
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
License
849466 (PA)
Legal business name
BEAUMONT RETIREMENT SERVICES, INC.
Practice address
601 N Ithan Ave
Bryn Mawr, PA 19010-1782
Phone
(610) 526-7000
Fax
(610) 525-0293
NPI assigned
Sep 3, 2008
Organization subpart
No

Authorized official

Name
Mr. J. David Mustin
Title
Vice President/Finance
Phone
(610) 526-7000

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 2

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

Practitioners 2

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
O20081223000024 PA Part B Supplier - Clinic/Group Practice 3678632940 Receives reassigned benefits from 2 practitioners
Practice locations: Bryn Mawr, PA

National Provider Directory

Tax ID family
Beaumont at Bryn Mawr (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 849466 PA Yes

Addresses

Primary practice location

601 N Ithan Ave
Bryn Mawr, PA 19010-1782

Mailing address

601 N Ithan Ave
Bryn Mawr, PA 19010-1782
Phone (610) 526-7000

Other providers in Bryn Mawr, PA

All providers in Bryn Mawr, PA · Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.