NPIMap

Organization Active NPI

Eagleville Hospital

  • Substance Abuse Rehabilitation Facility
  • Eagleville, PA
National Provider Identifier
1477615656
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
461031 Issued in PA
Legal business name
EAGLEVILLE HOSPITAL
Practice address
100 Eagleville Rd
Eagleville, PA 19403-1829
Phone
(610) 539-6000
NPI assigned
Dec 14, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Michael McGlone
Title
Director Finance
Phone
(267) 291-2210

Corporate family (same tax ID) 3

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

National Provider Directory

National Provider Directory
Tax ID family
Eagleville Hosp Rehab (4 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 461031 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Eagleville Rd
Eagleville, PA 19403-1829

Mailing address

100 Eagleville Rd
Eagleville, PA 19403-1829
Phone (610) 539-6000

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
128150OtherPAMBH OF PA
88299OtherPACBH
1007779290005MedicaidPA
0001185000OtherPAINDEPENDENCE BLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2021.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1477615656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAGLEVILLE RD",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031829",
            "telephone_number": "610-539-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAGLEVILLE RD",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031829",
            "telephone_number": "610-539-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLEVILLE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "MCGLONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR FINANCE",
        "authorized_official_telephone_number": "267-291-2210"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "461031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBH OF PA",
            "identifier": "128150",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBH",
            "identifier": "88299",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007779290005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0001185000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.