BRANDYWINE HOSPITAL, LLC (NPI# 1396264883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396264883 |
| Entity Type | Organization |
| Organization Name | BRANDYWINE HOSPITAL, LLC |
| Other Organization Name | BRANDYWINE HOSPITAL |
| Practice Address |
201 Reeceville Rd Coatesville PA 19320-1542 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6103838000 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846281324 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Brandywine Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225556947 | Brandywine Hospital, LLC | Psychiatric Unit | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2017-09-01 |
| 1194249961 | Brandywine Hospital, LLC | General Acute Care Hospital | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2017-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRANDYWINE HOSPITAL, LLC | 201 Reeceville Rd, Coatesville, PA 19320-1542 |
| Street Address |
201 REECEVILLE RD |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509792 | Liberty Anesthesia Associates, P. C. | Specialist | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2005-06-27 |
| 1669099719 | Martina Majella Sobolesky | Nurse Practitioner | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2020-07-05 |
| 1821611138 | Navneet Kaur Khroud | Psychiatry & Neurology | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2020-05-20 |
| 1801418579 | Evgenia Royter | Psychiatry & Neurology | 201 Reeceville Rd, Coatesville, PA 19320-1536 | 2020-05-15 |
| 1104447333 | Maryssa Lyons | Psychiatry & Neurology | 201 Reeceville Rd, Coatesville, PA 19320-1536 | 2020-04-28 |
| 1629699012 | Katherine Jean Hubert | Psychiatry & Neurology | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2020-04-27 |
| 1386265759 | Daniel Joseph Buhalo | Psychiatry & Neurology | 201 Reeceville Rd, Coatesville, PA 19320-1536 | 2020-04-27 |
| 1720628407 | Coatesville Clinic Company LLC | Internal Medicine | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2020-01-10 |
| 1740759604 | Michael Kevin Magee | Nurse Anesthetist, Certified Registered | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2018-11-20 |
| 1629547039 | Vladimir Vetkin | Registered Nurse | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2018-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| 1184264632 | Evolve Individual Services, LLC | Counselor | 135 E Chestnut St, 204, Coatesville, PA 19320 | 2020-01-13 |
| 1649824111 | Angela Lynne Sylvina | Social Worker | 1825 E Lincoln Highway, Coatesville, PA 19320 | 2019-08-01 |
| 1629540257 | Rhonda Jean Sanford | Social Worker | Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 | 2018-12-20 |
| 1528540499 | Jetquatta Parker | Licensed Practical Nurse | 786 Coates St, Coatesville, PA 19320 | 2018-09-06 |
| 1639608052 | Shafkat Hussain | Pharmacist | 800 East Lincoln Highway, Coatesville, PA 19320 | 2017-06-08 |
| 1790222032 | Elizabeth Barnett | Counselor | 2034crest Dr, Coatesville, PA 19320 | 2017-01-25 |
| Find all providers in zip 19320 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
| Find all providers with the same taxonomy | ||||
| City | COATESVILLE |
| Zip Code | 19320 |
Please comment or provide details below to improve the information on BRANDYWINE HOSPITAL, LLC.
| 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.