Provider Demographics
NPI:1225091697
Name:DOYLESTOWN HOSPITAL
Entity Type:Organization
Organization Name:DOYLESTOWN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ACCOUNTING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEEBER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:215-345-2484
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 1:595 W STATE ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2597
Practice Address - Country:US
Practice Address - Phone:215-345-2321
Practice Address - Fax:215-345-2899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA300401282N00000X
PA282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1001257320002Medicaid
PA110713491Medicaid
PA1001257320004Medicaid
PA1001257320015Medicaid
PA1001257320017Medicaid
PA1001257320003Medicaid
PA1001257320014Medicaid
PA130945683Medicaid
PA1-0713491Medicaid
PA121113116Medicaid
PA395203Medicare ID - Type UnspecifiedMUTUAL OF OMAHA
PA1001257320003Medicaid
PA1001257320004Medicaid
PA1001257320014Medicaid