Provider Demographics
NPI:1861493587
Name:OXFORD MEDICAL CENTER
Entity Type:Organization
Organization Name:OXFORD MEDICAL CENTER
Other - Org Name:RED ROSE FAMILY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-932-9300
Mailing Address - Street 1:620 SPEAR STREET
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19363
Mailing Address - Country:US
Mailing Address - Phone:610-932-9300
Mailing Address - Fax:610-932-5283
Practice Address - Street 1:620 SPEAR STREET
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:PA
Practice Address - Zip Code:19363
Practice Address - Country:US
Practice Address - Phone:610-932-9300
Practice Address - Fax:610-932-5283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care FacilityGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000826341Medicaid
063172Medicare PIN
183164Medicare PIN