Provider Demographics
NPI:1356313464
Name:CHHS HOSPITAL COMPANY LLC
Entity Type:Organization
Organization Name:CHHS HOSPITAL COMPANY LLC
Other - Org Name:CHESTNUT HILL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR /DELEGATED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PUALA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LALOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-925-4565
Mailing Address - Street 1:PO BOX 504148
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-4148
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8835 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2718
Practice Address - Country:US
Practice Address - Phone:215-248-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA036101282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
60029OtherKEYSTONE MERCY
PA1013151970003Medicaid
35194OtherHEALTH PARTNERS
0002200000OtherAMERICHOICE HMO
0073106002OtherELDER HEALTH
0073106002OtherAMERICHOICE MCD MGD CARE
35194OtherSENIOR HEALTH PARTNERS
PA1013151970004Medicaid
505344OtherCIGNA
0001412OtherAETNA
6490840OtherAETNA HMO
000220000OtherBCBS
PA1013151970002Medicaid
35194OtherSENIOR HEALTH PARTNERS