NPIMap

Organization Active NPI

Main Line Health

  • Community/Behavioral Health Agency
  • Exton, PA
National Provider Identifier
1639568199
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MAIN LINE HEALTH
Practice address
479 Thomas Jones Way
Exton, PA 19341-2580
Phone
(484) 565-8247
NPI assigned
Jan 21, 2015
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dave Ayers
Title
Site Manager
Phone
(484) 565-8213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

479 Thomas Jones Way
Exton, PA 19341-2580

Mailing address

479 Thomas Jones Way
Exton, PA 19341-2580
Phone (484) 565-8247

National Provider Directory

National Provider Directory
Tax ID family
Main Line Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Interoperability endpoints

  • FHIR API: https://epicproxy.et1007.epichosted.com/FHIRProxy/LAUNCH/api/FHIR/R4

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1639568199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 THOMAS JONES WAY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412580",
            "telephone_number": "484-565-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 THOMAS JONES WAY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412580",
            "telephone_number": "484-565-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "SITE MANAGER",
        "authorized_official_telephone_number": "484-565-8213"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.