METHODIST HOSPITAL NPI 1174667232

NPI Information

  • NPI: 1174667232
  • Provider Name: METHODIST HOSPITAL
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 2301 S BROAD ST
    PHILADELPHIA, PA
    ZIP 19148
  • Phone: (215) 955-7106

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NPI Details

METHODIST HOSPITAL is an ambulatory surgical clinic center in Philadelphia, PA. METHODIST HOSPITAL NPI is 1174667232. The provider is registered as an organization entity type.

The provider's business location address is:

2301 S BROAD ST
PHILADELPHIA, PA
ZIP 19148-542
Phone: (215) 955-7106
Fax: (215) 955-8732

The provider's authorized official is Neil Lubarsky .
The authorized official title is Senior Vice President For Finance and has the following contact phone number (215) 955-9895.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1261QA1903XClinic/CenterAmbulatory Surgical200801PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007571300055MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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