Organization Active NPI

Pottstown Hospital Company LLC

Doing business as Pottstown Memorial Medical Center

  • Psychiatric Hospital Unit
  • Pottstown, PA
National Provider Identifier
1427021625
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
911550 Issued in PA
Legal business name
POTTSTOWN HOSPITAL COMPANY LLC
Doing business as
Pottstown Memorial Medical Center
Practice address
1600 E High St
Pottstown, PA 19464-5008
Phone
(610) 327-7000
NPI assigned
Feb 8, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
POTTSTOWN HOSPITAL COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Gary Newsome
Title
Senior VP, Group Operations
Phone
(888) 373-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 911550 PA Primary

Addresses

Primary practice location

1600 E High St
Pottstown, PA 19464-5008

Mailing address

PO Box 501144
Saint Louis, MO 63150-1144

Other identifiers 1

IdentifierTypeStateIssuer
100751744006MedicaidPA

Other names 1

  • Pottstown Memorial Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Pottstown Hospital Company LLC

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1427021625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501144",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631501144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645008",
            "telephone_number": "610-327-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTSTOWN HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POTTSTOWN HOSPITAL COMPANY LLC",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SENIOR VP, GROUP OPERATIONS",
        "authorized_official_telephone_number": "888-373-9600"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "911550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100751744006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pottstown Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.