Kensington Hospital- Intensive Outpatient Program

LBN: Kensington Hospital- Intensive Outpatient Program
Kensington Hospital- Intensive Outpatient Program is an health care organization with primary practice located at 136 Diamond St , Philadelphia PA 19122-1721. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Kensington Hospital- Intensive Outpatient Program can be contacted via phone (215) 426-8100, or through Hause, Eileen via phone (215) 426-8100.

Contact Information

Primary practice address
136 Diamond St Philadelphia PA 19122-1721
Phone: (215) 426-8100
Fax: (215) 965-2344
Website:
Map and Directions
Authorized official contact:
Name: Hause, Eileen MBA
Phone: (215) 426-8100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 807340 Pennsylvania

Profile Details

NPI number 1336302017
LBN Legal business name Kensington Hospital- Intensive Outpatient Program
DBA Doing business as
Authorized official Hause, Eileen MBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 3rd, 2008
Last updated Jul 3rd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336302017 NPPES
Pennsylvania MEDICAID 1007717290019

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