Provider Demographics
NPI: | 1811073232 |
---|---|
Name: | WESTFIELD MEDICAL CENTER, L.P. |
Entity type: | Organization |
Organization Name: | WESTFIELD MEDICAL CENTER, L.P. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | GOVERNING BOARD CHAIRMAN/CEO |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | YASIN |
Authorized Official - Middle Name: | N |
Authorized Official - Last Name: | KHAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 610-973-8400 |
Mailing Address - Street 1: | 4815 W TILGHMAN ST |
Mailing Address - Street 2: | |
Mailing Address - City: | ALLENTOWN |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 18104-9374 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 610-973-8400 |
Mailing Address - Fax: | 610-973-8413 |
Practice Address - Street 1: | 4825 WEST TILGHMAN STREET |
Practice Address - Street 2: | |
Practice Address - City: | ALLENTOWN |
Practice Address - State: | PA |
Practice Address - Zip Code: | 18104 |
Practice Address - Country: | US |
Practice Address - Phone: | 610-530-8343 |
Practice Address - Fax: | 610-530-1617 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-10-27 |
Last Update Date: | 2013-01-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | PENDING | 282N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 282N00000X | Hospitals | General Acute Care Hospital |