NAZARETH HOSPITAL NPI 1215064704

NPI Information

  • NPI: 1215064704
  • Provider Name: NAZARETH HOSPITAL
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 2601 HOLME AVE
    PHILADELPHIA, PA
    ZIP 19152
  • Phone: (215) 335-6043

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NPI Details

NAZARETH HOSPITAL is an ambulatory surgical clinic center in Philadelphia, PA. NAZARETH HOSPITAL NPI is 1215064704. The provider is registered as an organization entity type.

The provider's business location address is:

2601 HOLME AVE
PHILADELPHIA, PA
ZIP 19152-007
Phone: (215) 335-6043
Fax: (215) 335-6303

The provider's authorized official is David A Wajda .
The authorized official title is V. P. OF FINANCE CFOCfo and has the following contact phone number (215) 335-6043.

The enumeration date for this NPI number is 2/28/2007 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 SurgicalYes

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
11007654720010MEDICAIDPENNSYLVANIA
21007654720013MEDICAIDPENNSYLVANIA
31007654720011MEDICAIDPENNSYLVANIA
41007654720015MEDICAIDPENNSYLVANIA

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: 11/21/2025

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