Provider Demographics
NPI:1871559419
Name:DOYLESTOWN HOSPITAL
Entity type:Organization
Organization Name:DOYLESTOWN HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COST ACCOUNTANT CHARGEMASTER COORDI
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:P
Authorized Official - Last Name:PLUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:215-345-2652
Mailing Address - Street 1:595 WEST STATE STREET
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2554
Mailing Address - Country:US
Mailing Address - Phone:215-345-2652
Mailing Address - Fax:215-345-2944
Practice Address - Street 1:4259 W SWAMP RD STE 204
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-1033
Practice Address - Country:US
Practice Address - Phone:215-345-2202
Practice Address - Fax:267-880-1393
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOYLESTOWN HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-22
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAHSP154699251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1001257320012Medicaid
PA391546OtherMEDICARE ID
PA1001257320012Medicaid