CHOP CLINICAL ASSOCIATES NPI 1336253046

NPI Information

NPI: 1336253046
Provider Name: CHOP CLINICAL ASSOCIATES
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
34TH & CIVIC CENTER BLVD.
PARC BUSINESS OFFICE
PHILADELPHIA, PA
ZIP 19104
Phone: (267) 426-5722
Get Directions

CHOP CLINICAL ASSOCIATES is a multi-specialty clinic center in Philadelphia, PA. CHOP CLINICAL ASSOCIATES NPI is 1336253046. The provider is registered as an organization entity type.

The provider's business location address is:

34TH & CIVIC CENTER BLVD.
PARC BUSINESS OFFICE
PHILADELPHIA, PA
ZIP 19104
Phone: (267) 426-5722
Fax: (267) 426-6325

The provider's authorized official is Dierdra Young .
The authorized official title is Director, Business Office and has the following contact phone number (267) 426-5722.

The enumeration date for this NPI number is 8/18/2006 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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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
1	60008	MEDICAID	PENNSYLVANIA
2	23-1352166-081	OTHER	PENNSYLVANIA	PRUDENTIAL HEALTH CARE
3	393303	OTHER	PENNSYLVANIA	KEYSTONE HEALTH PLAN EAST
4	393303	OTHER	PENNSYLVANIA	HORIZON BLUE CROSS
5	0001166000	OTHER	PENNSYLVANIA	IBC
6	0001426	OTHER	PENNSYLVANIA	AETNA/US HEALTHCARE
7	4204301	MEDICAID	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

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