CROZER-CHESTER MEDICAL CENTER

Provider Demographics

• NPI: 1134212772
• Name: CROZER-CHESTER MEDICAL CENTER
• Entity type: Organization
• Organization Name: CROZER-CHESTER MEDICAL CENTER
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: COO
• Authorized Official - Prefix: MR
• Authorized Official - First Name: PATRICK
• Authorized Official - Last Name: GAVIN
• Authorized Official - Phone: 610-338-8228
• Mailing Address - Street 1: ONE MEDICAL CENTER BOULEVARD
• Mailing Address - City: UPLAND
• Mailing Address - State: PA
• Mailing Address - Zip Code: 19013
• Mailing Address - Country: US
• Mailing Address - Phone: 610-447-2000
• Mailing Address - Fax: 610-619-7331
• Practice Address - Street 1: ONE MEDICAL CENTER BOULEVARD
• Practice Address - City: UPLAND
• Practice Address - State: PA
• Practice Address - Zip Code: 19013
• Practice Address - Country: US
• Practice Address - Phone: 610-447-2000
• Practice Address - Fax: 610-619-7331
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-10-02
• Last Update Date: 2015-02-18

Provider Licenses

State	License ID	Taxonomies
PA	037201	282N00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital

Provider Identifiers

State	Identifier ID	ID Type	Issuer
PA	1007605830133	Medicaid
PA	1007605830140	Medicaid
PA	390180	Other	AARP
PA	390180	Other	HIP PA HEALTH PLAN
PA	390180	Other	PREFERRED CARE
PA	60019	Other	KEYSTONE MERCY HEALTH PLA
PA	60019	Other	AMERIHEALTH MERCY
PA	62308	Other	CIGNA
PA	66019	Other	HORIZON MERCY
DE	A151083	Other	BLUE CROSS
PA	390180	Other	FAMILY HEALTH/NYL/ETHIX
PA	390180	Other	FIRST HEALTH AFFORDABLE
NJ	4197003	Medicaid
PA	86033	Other	CIGNA MEDICARE ACCESS
PA	87726	Other	UNITED HEALTHCARE
PA	0550180-03	Other	AMERICHOICE
PA	1007605830085	Medicaid
PA	1007605830134	Medicaid
PA	1007605830137	Medicaid
PA	135773000	Other	MAGELLAN DELCARE
PA	1414	Other	AETNA
PA	390180	Other	AMERIHEALTH DELCO
PA	390180	Other	HEALTH AMERICA/ASSURANCE
PA	0001103000	Other	BLUE CROSS IBC
PA	00022	Other	HEALTH PARTNERS
PA	1007605830132	Medicaid
PA	1007605830135	Medicaid
PA	262460	Other	MAMSI-OPT CHOICE MD IPA
PA	390180	Other	CARPENTERS HEALTH AND WELFARE
PA	390180	Other	TRICARE
PA	390180	Other	INTERGROUP
PA	390180	Other	MULTIPLAN
PA	390180	Other	PHCS
PA	390180	Other	PRISON SCI CHESTER
PA	390180	Other	WACHENHUT
PA	H06014	Other	OXFORD
PA	21552	Other	ADVANTRA FREEDOM
PA	390180	Other	COVENTRY
MD	011935100	Medicaid
PA	1007605830131	Medicaid
PA	1007605830138	Medicaid
PA	390180	Other	DEVON
PA	390180	Other	FIDELITY PMG
DE	0000135705	Medicaid
DE	0000135806	Medicaid
PA	390180	Other	GREAT WEST
PA	IY0107	Other	BRAVO ELDERHEALTH
PA	IY0107	Other	HEALTHNET
MD	011935100	Medicaid