Provider Demographics
NPI:1558733378
Name:PHOEBE CORPORATE & COMMUNITY BASED SERVICES
Entity Type:Organization
Organization Name:PHOEBE CORPORATE & COMMUNITY BASED SERVICES
Other - Org Name:PHOEBE CERTIFIED NURSE PRACTIONER SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-794-5131
Mailing Address - Street 1:1 READING DR
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-2018
Mailing Address - Country:US
Mailing Address - Phone:610-927-8512
Mailing Address - Fax:610-507-1684
Practice Address - Street 1:1 READING DR
Practice Address - Street 2:
Practice Address - City:WERNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19565-2018
Practice Address - Country:US
Practice Address - Phone:610-927-8512
Practice Address - Fax:610-507-1684
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHOEBE CORPORATE & COMMUNITY BASED SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service