Organization Active NPI

Beaumont Retirement Services, Inc.

  • Health Service Clinic/Center
  • Bryn Mawr, PA
National Provider Identifier
1679698807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
849466 Issued in PA
Legal business name
BEAUMONT RETIREMENT SERVICES, INC.
Practice address
601 N Ithan Ave
Bryn Mawr, PA 19010-1782
Phone
(610) 526-7000
Fax
(610) 526-7118
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph Harrison Fortenbaugh III, NHA, MBA
Title
President
Phone
(610) 526-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 849466 PA Primary

Addresses

Primary practice location

601 N Ithan Ave
Bryn Mawr, PA 19010-1782

Mailing address

601 N Ithan Ave
Bryn Mawr, PA 19010-1782
Phone (610) 526-7000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679698807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N ITHAN AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101782",
            "telephone_number": "610-526-7000",
            "fax_number": "610-526-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N ITHAN AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101782",
            "telephone_number": "610-526-7000",
            "fax_number": "610-526-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT RETIREMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORTENBAUGH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-526-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "NHA, MBA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "849466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

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.

Verify at the official NPI Registry.