Active NPI
Philadelphia Veterans Affairs Medical Center
- Operational (Transportable) Military General Acute Care Hospital
- Philadelphia, PA
National Provider Identifier
1609982289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Operational (Transportable) Military General Acute Care Hospital
- Legal business name
- PHILADELPHIA VETERANS AFFAIRS MEDICAL CENTER
- Practice address
- 3900 Woodland Ave
Philadelphia, PA 19104-4551 - Phone
- (215) 823-5809
- Fax
- (215) 823-4584
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra J. Felix, MSW
- Title
- Health Science Specialist
- Phone
- (215) 823-5809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Operational (Transportable) Military General Acute Care Hospital | 2865X1600X | Primary |
Addresses
Primary practice location
3900 Woodland Ave
Philadelphia, PA 19104-4551
Mailing address
3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone (215) 823-5809
Other names 1
- Behavioral Health opt
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609982289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "215-823-5809",
"fax_number": "215-823-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "215-823-5809",
"fax_number": "215-823-4584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILADELPHIA VETERANS AFFAIRS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FELIX",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "HEALTH SCIENCE SPECIALIST",
"authorized_official_telephone_number": "215-823-5809",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "2865X1600X",
"taxonomy_group": "",
"desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Behavioral Health opt",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
- Philadelphia Vamc
- Philadelphia Vamc
- Philadelphia Vamc
- Philadelphia Vamc
- Philadelphia Veterans Affairs Medical Center
- Philadelphia Vision Associates Group Practice LLC
- Philadelphia Vision Center
- Philadelphia Vision Center of 15TH St. Inc.
- Philadelphia Vision Center of Erie Ave Inc
- Philadelphia Vision Center on Ridge
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.