Provider Demographics
NPI:1518178144
Name:NORTH PHILADELPHIA HEALTH SYSTEM
Entity type:Organization
Organization Name:NORTH PHILADELPHIA HEALTH SYSTEM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO OF NPHS
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WALMSLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:215-787-9001
Mailing Address - Street 1:801 W GIRARD AVE
Mailing Address - Street 2:ATTN BUSINESS OFFICE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-4212
Mailing Address - Country:US
Mailing Address - Phone:215-787-2000
Mailing Address - Fax:
Practice Address - Street 1:801 W GIRARD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-4212
Practice Address - Country:US
Practice Address - Phone:215-787-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH PHILADELPHIA HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-25
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA08282OtherHEALTH PARTNERS OF PA
PA0001026000OtherIBC
PA0001447OtherAETNA
PA390132BMedicare ID - Type UnspecifiedMEDICARE
PA1007276960100Medicaid
PA60098OtherKEYSTONE MERCY HEALTH PLA
PACL5102OtherBRAVO
PA6508489OtherCIGNA HEALTH CARE OF PA