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PA DEPARTMENT OF MILITARY AND VETERANS AFFAIRS NPI 1578672796


NPI Information

NPI: 1578672796
Provider Name: PA DEPARTMENT OF MILITARY AND VETERANS AFFAIRS

Doing Business As: DELAWARE VALLEY VETERANS HOME

Classification: Military Hospital - 2865M2000X
Entity Type: Organization

Specialization: Military General Acute Care Hospital

CLIA Number: 39D1008252

Address:
2701 SOUTHAMPTON RD
PHILADELPHIA, PA
ZIP 19154
Phone: (215) 965-5900
Get Directions

PA DEPARTMENT OF MILITARY AND VETERANS AFFAIRS is a military general acute care hospital military hospital in Philadelphia, PA. The provider is a Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items. PA DEPARTMENT OF MILITARY AND VETERANS AFFAIRS NPI is 1578672796. The provider is registered as an organization entity type.
The provider Is Doing Business As Delaware Valley Veterans Home.

The provider's business location address is:

2701 SOUTHAMPTON RD
PHILADELPHIA, PA
ZIP 19154-205
Phone: (215) 965-5900
Fax: (215) 965-0377

The provider's authorized official is Aurelio Peter Ojeda .
The authorized official title is Commandant and has the following contact phone number (215) 965-0301.

The CLIA number assigned to this NPI record is 39D1008252 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/29/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1313M00000XNursing Facility/Intermediate Care Facility12720200PENNSYLVANIANo
2332B00000XDurable Medical Equipment & Medical Supplies12720200PENNSYLVANIANo
32865M2000XMilitary HospitalMilitary General Acute Care Hospital12720200PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11244320002MEDICARE NSCPENNSYLVANIA
2068582MEDICARE PINPENNSYLVANIA

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

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.