Kensington Hospital Outpatient Treatment Program

LBN: Kensington Hospital Outpatient Treatment Program
Kensington Hospital Outpatient Treatment 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 Outpatient Treatment 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 M.B.A.
Phone: (215) 426-8100

Health care specialties

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

Profile Details

NPI number 1922156314
LBN Legal business name Kensington Hospital Outpatient Treatment Program
DBA Doing business as
Authorized official Hause, Eileen M.B.A.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jun 17th, 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 1922156314 NPPES
Pennsylvania MEDICAID 1007717290013

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