POTTSTOWN CLINIC COMPANY LLC - NPI NUMBER 1649341934

Summary

Provider Name: POTTSTOWN CLINIC COMPANY LLC

NPI Number: 1649341934

Clasification: Hospitalist (208M00000X)

Address:
730 S HANOVER ST
POTTSTOWN, PA
ZIP 19465

Phone Number: (610) 323-6835



Detailed Information

POTTSTOWN CLINIC COMPANY LLC is a hospitalist in Pottstown, PA. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. The assigned NPI number for this provider is 1649341934 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

730 S HANOVER ST
POTTSTOWN, PA
ZIP 19465-520
Phone: (610) 323-6835

The provider's authorized official is Sophia L Arwood .
The authorized official title is Director and has the following contact phone number (615) 628-6038.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 1/16/2014.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1124203633 RACHEL ERYN BAGELMAN, MD
Hospitalist
1669442885 NOAH A BASS, DO
Hospitalist

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 208M00000X Hospitalist No
2 207R00000X Internal Medicine No
3 208600000X Surgery No
4 2086X0206X Surgery Surgical Oncology No
5 207ZH0000X Pathology Hematology No
6 207P00000X Emergency Medicine No
7 363L00000X Nurse Practitioner No
8 2084N0400X Psychiatry & Neurology Neurology No
9 2085R0202X Radiology Diagnostic Radiology No
10 2085N0904X Radiology Nuclear Radiology No
11 2085R0204X Radiology Vascular & Interventional Radiology No
12 207ZP0101X Pathology Anatomic Pathology No
13 208VP0000X Pain Medicine Pain Medicine No
14 208000000X Pediatrics No
15 207Q00000X Family Medicine Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 106692 MEDICARE PIN PA
2 101814268 0008 MEDICAID PA

NPI Record

No. Field Name Field Value
1 NPI 1649341934
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name POTTSTOWN CLINIC COMPANY LLC
5 Provider First Line Business Practice Location Address 730 S HANOVER ST
6 Provider Business Practice Location Address City Name POTTSTOWN
7 Provider Business Practice Location Address State Name PA
8 Provider Business Practice Location Address Postal Code 194657520
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 6103236835
11 Provider Enumeration Date 11/10/2006
12 Last Update Date 1/16/2014
13 Authorized Official Last Name ARWOOD
14 Authorized Official First Name SOPHIA
15 Authorized Official Middle Name L
16 Authorized Official Title or Position DIRECTOR
17 Authorized Official Telephone Number 6156286038
18 Healthcare Provider Taxonomy Code 1 208M00000X
19 Healthcare Provider Primary Taxonomy Switch 1 N
20 Healthcare Provider Taxonomy Code 2 207R00000X
21 Healthcare Provider Primary Taxonomy Switch 2 N
22 Healthcare Provider Taxonomy Code 3 208600000X
23 Healthcare Provider Primary Taxonomy Switch 3 N
24 Healthcare Provider Taxonomy Code 4 2086X0206X
25 Healthcare Provider Primary Taxonomy Switch 4 N
26 Healthcare Provider Taxonomy Code 5 207ZH0000X
27 Healthcare Provider Primary Taxonomy Switch 5 N
28 Healthcare Provider Taxonomy Code 6 207P00000X
29 Healthcare Provider Primary Taxonomy Switch 6 N
30 Healthcare Provider Taxonomy Code 7 363L00000X
31 Healthcare Provider Primary Taxonomy Switch 7 N
32 Healthcare Provider Taxonomy Code 8 2084N0400X
33 Healthcare Provider Primary Taxonomy Switch 8 N
34 Healthcare Provider Taxonomy Code 9 2085R0202X
35 Healthcare Provider Primary Taxonomy Switch 9 N
36 Healthcare Provider Taxonomy Code 10 2085N0904X
37 Healthcare Provider Primary Taxonomy Switch 10 N
38 Healthcare Provider Taxonomy Code 11 2085R0204X
39 Healthcare Provider Primary Taxonomy Switch 11 N
40 Healthcare Provider Taxonomy Code 12 207ZP0101X
41 Healthcare Provider Primary Taxonomy Switch 12 N
42 Healthcare Provider Taxonomy Code 13 208VP0000X
43 Healthcare Provider Primary Taxonomy Switch 13 N
44 Healthcare Provider Taxonomy Code 14 208000000X
45 Healthcare Provider Primary Taxonomy Switch 14 N
46 Healthcare Provider Taxonomy Code 15 207Q00000X
47 Healthcare Provider Primary Taxonomy Switch 15 Y
48 Other Provider Identifier 1 106692
49 Other Provider Identifier Type Code 1 08
50 Other Provider Identifier State 1 PA
51 Other Provider Identifier 2 101814268 0008
52 Other Provider Identifier Type Code 2 05
53 Other Provider Identifier State 2 PA
54 Is Organization Subpart N
55 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP
56 Healthcare Provider Taxonomy Group 2 193200000X MULTI-SPECIALTY GROUP
57 Healthcare Provider Taxonomy Group 3 193200000X MULTI-SPECIALTY GROUP
58 Healthcare Provider Taxonomy Group 4 193200000X MULTI-SPECIALTY GROUP
59 Healthcare Provider Taxonomy Group 5 193200000X MULTI-SPECIALTY GROUP
60 Healthcare Provider Taxonomy Group 6 193200000X MULTI-SPECIALTY GROUP
61 Healthcare Provider Taxonomy Group 7 193200000X MULTI-SPECIALTY GROUP
62 Healthcare Provider Taxonomy Group 8 193200000X MULTI-SPECIALTY GROUP
63 Healthcare Provider Taxonomy Group 9 193200000X MULTI-SPECIALTY GROUP
64 Healthcare Provider Taxonomy Group 10 193200000X MULTI-SPECIALTY GROUP
65 Healthcare Provider Taxonomy Group 11 193200000X MULTI-SPECIALTY GROUP
66 Healthcare Provider Taxonomy Group 12 193200000X MULTI-SPECIALTY GROUP
67 Healthcare Provider Taxonomy Group 13 193200000X MULTI-SPECIALTY GROUP
68 Healthcare Provider Taxonomy Group 14 193200000X MULTI-SPECIALTY GROUP
69 Healthcare Provider Taxonomy Group 15 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 9/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.