NPIMap

Organization Active NPI

Crozer-Chester Medical Center

Doing business as CrozerTaylorSpringfield

  • Psychiatric Hospital Unit
  • Chester, PA
National Provider Identifier
1932296696
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
037201 Issued in PA
Legal business name
CROZER-CHESTER MEDICAL CENTER
Doing business as
CrozerTaylorSpringfield
Practice address
1 Medical Center Blvd
Chester, PA 19013-3902
Phone
(610) 447-2000
Fax
(610) 619-7331
NPI assigned
Oct 6, 2006
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CROZER-CHESTER MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Mr. Patrick Gavin
Title
Coo
Phone
(610) 338-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 037201 PA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Chester, PA 19013-3902

Mailing address

1 Medical Center Blvd
Chester, PA 19013-3902
Phone (610) 447-2000

Other identifiers 8

IdentifierTypeStateIssuer
1414OtherPAAETNA
135773000OtherPAMAGELLAN DELCARE
390180OtherPATRICARE
60019OtherPAKEYSTONE MERCY HEALTH PLAN
87726OtherPAUNITED HEALTHCARE
0001103000OtherPAIBC/KEYSTONE HEALTH PLAN EAST/AMERIHEALTH
1007605830069MedicaidPA
390180OtherPAAARP

Other names 1

  • CrozerTaylorSpringfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prospect CCMC LLC26 organizations share this tax ID, including this one
Part of
Crozier Chester Med Ctr

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1932296696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-2000",
            "fax_number": "610-619-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-2000",
            "fax_number": "610-619-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER-CHESTER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROZER-CHESTER MEDICAL CENTER",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-338-8228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "037201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1414",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN DELCARE",
            "identifier": "135773000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "390180",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLAN",
            "identifier": "60019",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "87726",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC/KEYSTONE HEALTH PLAN EAST/AMERIHEALTH",
            "identifier": "0001103000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007605830069",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "390180",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CrozerTaylorSpringfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.