Provider Demographics
NPI:1689806788
Name:HAHNEMANN UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:HAHNEMANN UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF GME
Authorized Official - Prefix:MS
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEINHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-762-2612
Mailing Address - Street 1:3701 CONSHOHOCKEN AVE
Mailing Address - Street 2:APT 522
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-5539
Mailing Address - Country:US
Mailing Address - Phone:484-358-3083
Mailing Address - Fax:
Practice Address - Street 1:245 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1518
Practice Address - Country:US
Practice Address - Phone:215-762-2612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-22
Last Update Date:2009-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT194668282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital