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 Civic Center Blvd 1St Floor, Philadelphia PA 19104-5127. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is the primary health care specialty.
University Of Penn-Medical Group can be contacted via phone (215) 662-2454, or through Jackson, Chante L via phone (215) 662-6187.
Contact Information
Primary practice address
3400 Civic Center Blvd 1St Floor
Philadelphia PA 19104-5127
Phone: (215) 662-2454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Pennsylvania | |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | Pennsylvania |
Profile Details
| NPI number | 1982717641 |
|---|---|
| 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 16th, 2006 |
| Last updated | Nov 20th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982717641 | NPPES |
| Pennsylvania | Other | 0276505000 | KEYSTONE |
| Pennsylvania | Other | CA0235 | KEYSTONE |
| Pennsylvania | Other | 5443300 | KEYSTONE |
| Pennsylvania | Other | 496695 | KEYSTONE |
| Pennsylvania | Other | 140756 | KEYSTONE |
| Pennsylvania | MEDICAID | 0006610360 | KEYSTONE |
| Pennsylvania | Other | 1010975 | KEYSTONE |
| Pennsylvania | Other | 0002Y20116 | KEYSTONE |
| Pennsylvania | Other | 273257 | KEYSTONE |
| Pennsylvania | Other | 020255499 | KEYSTONE |
| Pennsylvania | Other | 31848 | KEYSTONE |
| Pennsylvania | Other | G00048560 | KEYSTONE |
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