Provider Demographics
NPI:1841325586
Name:CRH OF WEST CHESTER
Entity type:Organization
Organization Name:CRH OF WEST CHESTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO, CENTERRE HEALTHCARE
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:KERR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-889-2726
Mailing Address - Street 1:7733 FORSYTH BLVD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-1817
Mailing Address - Country:US
Mailing Address - Phone:314-889-2700
Mailing Address - Fax:314-889-2727
Practice Address - Street 1:400 E MARSHALL ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5412
Practice Address - Country:US
Practice Address - Phone:314-889-2700
Practice Address - Fax:314-889-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0004345000OtherINDEPENDENCE BLUE CROSS
PA0004345000OtherINDEPENDENCE BLUE CROSS