NPIMap

Organization Active NPI

Prime Healthcare Services-Suburban Hospital LLC

  • Psychiatric Hospital Unit
  • East Norriton, PA
National Provider Identifier
1356718787
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
1972011 Issued in PA
Legal business name
PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC
Practice address
2701 Dekalb Pike
East Norriton, PA 19401-1820
Phone
(610) 278-2000
Fax
(610) 272-4642
NPI assigned
Sep 2, 2015
Organization subpart
Yes
Parent organization
PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Christopher Doan
Title
Chief Compliance Counsel
Phone
(909) 235-4307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 1972011 PA Primary

Addresses

Primary practice location

2701 Dekalb Pike
East Norriton, PA 19401-1820

Mailing address

2701 Dekalb Pike
East Norriton, PA 19401-1820
Phone (610) 278-2000

Other identifiers 2

IdentifierTypeStateIssuer
100727702MedicaidPA
103075750MedicaidPA

National Provider Directory

National Provider Directory
Part of
Prime Healthcare Services-Suburban Hospital LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1356718787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011820",
            "telephone_number": "610-278-2000",
            "fax_number": "610-272-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011820",
            "telephone_number": "610-278-2000",
            "fax_number": "610-272-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC",
        "enumeration_date": "2015-09-02",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE COUNSEL",
        "authorized_official_telephone_number": "909-235-4307"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "1972011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100727702",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103075750",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.