Provider Demographics
NPI:1659590123
Name:PHOENIXVILLE HOSPITAL
Entity Type:Organization
Organization Name:PHOENIXVILLE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TULLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-933-1000
Mailing Address - Street 1:275 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1115
Mailing Address - Country:US
Mailing Address - Phone:610-948-1620
Mailing Address - Fax:
Practice Address - Street 1:275 ORCHARD RD
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1115
Practice Address - Country:US
Practice Address - Phone:610-948-1620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004264-L282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital