University Of Penn-Medical Group

LBN: University Of Penn-Medical Group
University Of Penn-Medical Group is an health care organization with primary practice located at 3400 Spruce St 3 Silverstein Building, Suite D, Philadelphia PA 19104-4206. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Infectious Disease is the primary health care specialty. University Of Penn-Medical Group can be contacted via phone (215) 662-6932, or through Jackson, Chante L via phone (215) 662-6187.

Contact Information

Primary practice address
3400 Spruce St 3 Silverstein Building, Suite D Philadelphia PA 19104-4206
Phone: (215) 662-6932
Fax: (215) 662-7899
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Chante L
Phone: (215) 662-6187

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X

Profile Details

NPI number 1194832899
LBN Legal business name University Of Penn-Medical Group
DBA Doing business as
Authorized official Jackson, Chante L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Nov 19th, 2020 - about 4 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 1194832899 NPPES
Pennsylvania Other 0002Y20116 HEALTHNET
Pennsylvania Other 043054 HEALTHNET
Pennsylvania Other 1010882 HEALTHNET
Pennsylvania Other 496686 HEALTHNET
Pennsylvania Other 10724 HEALTHNET
Pennsylvania Other 5467403 HEALTHNET
Pennsylvania Other CA0235 HEALTHNET
Pennsylvania Other 0345789000 HEALTHNET
Pennsylvania MEDICAID 0006610360 HEALTHNET
Pennsylvania Other 273224 HEALTHNET
Pennsylvania Other G00048530 HEALTHNET

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