Provider Demographics
NPI:1821082199
Name:COUNTY OF CHESTER HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:COUNTY OF CHESTER HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPARTMENT DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-344-6225
Mailing Address - Street 1:601 WESTTOWN RD.
Mailing Address - Street 2:SUITE 290 PO BOX 2747
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-0990
Mailing Address - Country:US
Mailing Address - Phone:610-344-6225
Mailing Address - Fax:
Practice Address - Street 1:601 WESTTOWN RD.
Practice Address - Street 2:SUITE 290
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-0990
Practice Address - Country:US
Practice Address - Phone:610-344-6225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007655340009Medicaid