Provider Demographics
NPI:1811992084
Name:ABINGTON MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:ABINGTON MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-481-2851
Mailing Address - Street 1:PO BOX 780574
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0574
Mailing Address - Country:US
Mailing Address - Phone:215-481-2000
Mailing Address - Fax:
Practice Address - Street 1:1200 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3720
Practice Address - Country:US
Practice Address - Phone:215-481-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA270501282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0001403OtherAETNA/USHC, MAGELLAN
PA019770000OtherMAGELLAN - IBC
PA1007691860091Medicaid
PA129663OtherMAGELLAN - IP PSYCH
PA0001126000OtherINDEPENDENCE BLUE CROSS
PA0053699604OtherAMERICHOICE
PA08341OtherHEALTH PARTNERS
PA1007691860187Medicaid
PA128414OtherMAGELLAN - OP ETC
PA1007691860002Medicaid
PA1007691860024Medicaid
PA1007691860186Medicaid
PA45931OtherKEYSTONE MERCY
PA1007691860184Medicaid
PA1007691860197Medicaid
PA0001403OtherAETNA/USHC, MAGELLAN
PA1007691860024Medicaid
PA08341OtherHEALTH PARTNERS
PA400089Medicare ID - Type UnspecifiedHGSA - MEDICARE CARRIER