Provider Demographics
NPI:1689914772
Name:LANSDALE HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:LANSDALE HOSPITAL CORPORATION
Other - Org Name:ABINGTON HEALTH DENTAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MERLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-481-5837
Mailing Address - Street 1:51 MEDICAL CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1254
Mailing Address - Country:US
Mailing Address - Phone:215-855-9296
Mailing Address - Fax:215-855-1305
Practice Address - Street 1:51 MEDICAL CAMPUS DR
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1254
Practice Address - Country:US
Practice Address - Phone:215-855-9296
Practice Address - Fax:215-855-1305
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANSDALE HOSPITAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental