NPIMap

Organization Active NPI

Main Line Health

  • General Acute Care Hospital
  • Drexel Hill, PA
National Provider Identifier
1851636591
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MAIN LINE HEALTH
Practice address
401 Pilgrim LN
Suite 103
Drexel Hill, PA 19026-5000
Phone
(484) 476-6543
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Robert Wittman, M.H.S.
Title
Therapist
Phone
(484) 565-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

401 Pilgrim LN
Suite 103
Drexel Hill, PA 19026-5000

Mailing address

479 Pilgrim la
Suite 103
Drexel Hill, PA 19026

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.

Locations

401 Pilgrim Ln
Ste 103
Drexel Hill, PA 19026
Phone (484) 476-6543

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1851636591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 PILGRIM LA",
            "address_2": "SUITE 103",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "19026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PILGRIM LN",
            "address_2": "SUITE 103",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265000",
            "telephone_number": "484-476-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "WITTMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "484-565-1130",
        "authorized_official_credential": "M.H.S."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.