CROZER CHESTER MEDICAL CENTER (NPI# 1104238385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104238385 |
| Entity Type | Organization |
| Organization Name | CROZER CHESTER MEDICAL CENTER |
| Practice Address |
2600 W 9th St Chester PA 19013-2040 |
| Practice Telephone | 8565204595 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |
| Authorized Official Name | MS. NAKIA SMITH (ICM/KID INTENSIVE CASE MANAGER) |
| Authorized Official Telephone | 8565204595 |
| Authorized Official Credential | B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| 1619416195 | Crozer Chester Medical Center | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2017-02-17 |
| 1881008274 | Crozer Chester Medical Center | General Acute Care Hospital | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2014-06-13 |
| 1144576091 | Crozer Chester Medical Center | Clinic/Center | 1 Medical Center Blvd, Acp 332, Chester, PA 19013-3902 | 2012-07-30 |
| 1598010787 | Crozer Chester Medical Center | Clinic/Center | 1 Medical Center Blvd, Acp 332, Chester, PA 19013-3902 | 2012-07-13 |
| 1043565237 | Crozer Chester Medical Center | Clinic/Center | 1 Medical Center Blvd, Acp 332, Chester, PA 19013-3902 | 2012-07-13 |
| 1215282405 | Crozer Chester Medical Center | Clinic/Center | 1 Medical Center Blvd, Acp 332, Chester, PA 19013-3902 | 2012-07-13 |
| 1437411352 | Crozer Chester Medical Center | General Acute Care Hospital | One Medical Center Blvd, Acp 332, Upland, PA 19013 | 2012-06-15 |
| 1972757912 | Crozer Chester Medical Center | General Acute Care Hospital | 1 Medical Center Blvd, Department of Medicine - 3 East, Chester, PA 19013-3902 | 2008-11-04 |
| 1215197942 | Crozer Chester Medical Center | Clinic/Center | One Medical Center Boulevard, Pearl Hall, Upland, PA 19013-0000 | 2008-06-16 |
| Street Address |
2600 W 9TH ST |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912961459 | William Patzig | Counselor | 2600 W 9th St, Chester, PA 19013-2040 | 2006-04-13 |
| 1427528298 | John Thomas Weis | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-12-05 |
| 1790255560 | Shemar Imani Moore | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-12-05 |
| 1821568726 | Aaron Redd | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-12-04 |
| 1063982270 | Ieasa Ann Nichols | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-11-30 |
| 1902376643 | Olivia Debiase | Counselor | 2600 W 9th St, Chester, PA 19013-2040 | 2018-11-26 |
| 1548738743 | Nicole Peterson | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-11-06 |
| 1437633161 | Tawilla Francis | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-09-19 |
| 1538642046 | Elexus N Shockley | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-09-11 |
| 1205319738 | Jacob Morris | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.