Organization Active NPI

Crozer Chester Medical Center

  • Clinic/Center
  • Chester Township, PA
National Provider Identifier
1588079867
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
910800 Issued in PA
Legal business name
CROZER CHESTER MEDICAL CENTER
Practice address
201 Bridgewater Road
Chester Township, PA 19013
Phone
(610) 497-7232
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Patrick J Gavin
Title
Coo
Phone
(610) 338-8225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 910800 PA Primary

Addresses

Primary practice location

201 Bridgewater Road
Chester Township, PA 19013

Mailing address

One Medical Center Boulevard
Upland, PA 19013
Phone (610) 447-2000

National Provider Directory

National Provider Directory
Tax ID family
Crozer Chester Medical28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

201 Bridgewater Rd
Chester, PA 19015
Phone (610) 497-7232

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1588079867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BOULEVARD",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-447-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BRIDGEWATER ROAD",
            "city": "CHESTER TOWNSHIP",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-497-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER CHESTER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-338-8225"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "910800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.