Provider Demographics
NPI:1942364781
Name:TEMPLE UNIVERSITY HOSPITAL, INC
Entity Type:Organization
Organization Name:TEMPLE UNIVERSITY HOSPITAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-707-3802
Mailing Address - Street 1:100 E LEHIGH AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-1012
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 E LEHIGH AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-1012
Practice Address - Country:US
Practice Address - Phone:215-707-5303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE UNIVERSITY HOSPITAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-19
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA200701273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0158198701OtherAMERICHOICE
PA1007351140002Medicaid
390027OtherCHAMPUS TRICARE
PA011007351140003OtherCBH OUTPATIENT
390027OtherDEVON
390027OtherGEISINGER
390027OtherPRIVATE HEALTHCARE
00011OtherELDERHEALTH
PA00018OtherHEALTH PARTNERS
390027OtherCIGNA
390027OtherHEALTH AMERICA
PA004570OtherIBC KHPE
390027OtherUNITED HEALTHCARE
PA1007351140004Medicaid
1401OtherAETNA
NJ60027OtherHORIZON NJ
PA53119343OtherCBH EXTENDED CARE
PA60027OtherKEYSTONE MERCY
390027OtherDEVON