NPIMap

Organization Active NPI

Kensington Hospital- Cambria Clinic

  • Primary Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1720136112
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
111101 Issued in PA
Legal business name
KENSINGTON HOSPITAL- CAMBRIA CLINIC
Practice address
136 Diamond St
Philadelphia, PA 19122-1721
Phone
(215) 426-8100
Fax
(215) 965-2344
NPI assigned
Jan 8, 2007
Organization subpart
Yes
Parent organization
KENSINGTON HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Ms. Eileen Hause, M.B.A.
Title
Chief Executive Officer
Phone
(215) 426-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 111101 PA Primary

Addresses

Primary practice location

136 Diamond St
Philadelphia, PA 19122-1721

Mailing address

2858 N 5TH St
Philadelphia, PA 19133-2712
Phone (215) 229-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040420000239 PA Part B Supplier - Clinic/Group Practice 6305831165 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA
O20081010000301 PA Part A Provider - Hospital 6305831165 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA

Hospital certification: CCN 390025

Legal name
KENSINGTON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 9, 2017
Beds
31
Ownership / control type
Other
Organization structure
CorporationNon-profit
Enrollment address
136 Diamond St
Philadelphia, PA 19122-1721
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Kensington HospitalCCN 390025
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Part of
Anesthesiology Kensingt

Locations

2858 N 5th St
Philadelphia, PA 19133
Phone (215) 229-8488

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Coleman Individual Operational/Managerial ControlBoard Member Jul 1, 2023 16.6%
Colleen Schaller Individual Operational/Managerial ControlBoard Member Jul 1, 2023 16.6%
Catherine Kutzler Individual Operational/Managerial ControlBoard Member Jul 1, 2023 16.6%
Kensington Hospital Organization, Philadelphia, PA Corporation, Non-profit Operational/Managerial Control Jul 1, 1966 100%
Tinesha Banks Individual Operational/Managerial ControlBoard Member Jul 1, 2023 16.6%
Monika Vansant Individual Contracted Managing EmployeeMD; Jun 30, 2022 16.6%
Eileen Hause Individual W-2 Managing EmployeeInterim Chief Executive Officer Aug 11, 2025 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1720136112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332712",
            "telephone_number": "215-229-8488",
            "fax_number": "215-229-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 DIAMOND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191221721",
            "telephone_number": "215-426-8100",
            "fax_number": "215-965-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSINGTON HOSPITAL- CAMBRIA CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENSINGTON HOSPITAL",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "HAUSE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-426-8100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "111101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.