Provider Demographics
NPI:1164744371
Name:TENET HEALTH SYSTEM HAHNEMANN, LLC
Entity Type:Organization
Organization Name:TENET HEALTH SYSTEM HAHNEMANN, LLC
Other - Org Name:HAHNEMANN UNIVERSITY HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:VP OF TAXATION, TENET HEALTHCARE
Authorized Official - Prefix:MR
Authorized Official - First Name:RABE
Authorized Official - Middle Name:E
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-762-7000
Mailing Address - Street 1:PO BOX 828112
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-8112
Mailing Address - Country:US
Mailing Address - Phone:215-255-3152
Mailing Address - Fax:
Practice Address - Street 1:230 N BROAD ST
Practice Address - Street 2:MAILSTOP 417
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1121
Practice Address - Country:US
Practice Address - Phone:215-255-3152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0T013137282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access