Fox Subacute at Clara Burke

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

036302 Issued in PA

Legal business name

FOX SUBACUTE AT CLARA BURKE

Practice address

251 Stenton Ave
Plymouth Meeting, PA 19462-1220

Phone

(610) 828-2272

NPI assigned

Nov 3, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joe Murray

Title

Administrator

Phone

(215) 343-2700

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710978226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 STENTON AVE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621220",
            "telephone_number": "610-828-2272",
            "fax_number": "610-862-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 STENTON AVE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621220",
            "telephone_number": "610-828-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX SUBACUTE AT CLARA BURKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-343-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "PA",
            "license": "036302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0006262000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2590550",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0006262000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018745120001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danelle Colleen Fournier, D.M.D.
• Brooke Fouse
• Anitera Fowler, DTECH
• Annette Gay Fowler
• Colleen Fowlkes, CRNP
• Beverly Fox
• Michelle Rose Fox, PTA
• Roseann Fox
• Danielle Frace, LPN
• C Francis

• Nursing Facility/Intermediate Care Facility in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Nursing Facility/Intermediate Care Facility in Pennsylvania

• 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.