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 3615 Chestnut St Ralston-Penn Center, Philadelphia PA 19104-2612. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. University Of Penn - Medical Group can be contacted via phone (215) 662-2746, or through Jackson, Chante L via phone (215) 662-6187.

Contact Information

Primary practice address
3615 Chestnut St Ralston-Penn Center Philadelphia PA 19104-2612
Phone: (215) 662-2746
Fax: (215) 349-5648
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Chante L
Phone: (215) 662-6187

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X

Profile Details

NPI number 1497767495
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 12th, 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 1497767495 NPPES
Pennsylvania Other 1010530 MERCY
Pennsylvania Other CA0235 MERCY
Pennsylvania Other 496703 MERCY
Pennsylvania MEDICAID 0006610360 MERCY
Pennsylvania Other 5466407 MERCY
Pennsylvania Other 11192 MERCY
Pennsylvania Other 0002Y20116 MERCY
Pennsylvania Other 0270301000 MERCY
Pennsylvania Other 043052 MERCY
Pennsylvania Other 273211 MERCY
Pennsylvania Other G0005268 MERCY

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