EAGLEVILLE HOSPITAL (NPI# 1477615656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477615656 |
| Entity Type | Organization |
| Organization Name | EAGLEVILLE HOSPITAL |
| Practice Address |
100 Eagleville Rd Eagleville PA 19403-1829 |
| Practice Telephone | 6105396000 |
| Mailing Telephone | 6105396000 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HON-CHUNG TONG (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6106357412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 461031 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CBH | 88299 | 01 |
| PA | MBH OF PA | 128150 | 01 |
| PA | INDEPENDENCE BLUE CROSS | 0001185000 | 01 |
| PA | 1007779290005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887331 | Eagleville Hospital | Pharmacy | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2013-09-10 |
| 1194956011 | Eagleville Hospital | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2009-07-28 |
| 1386875292 | Eagleville Hospital | Psychiatry & Neurology | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2009-07-28 |
| 1568524742 | Eagleville Hospital | Psychiatric Unit | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2006-12-14 |
| 1467510560 | Eagleville Hospital | Rehabilitation, Substance Use Disorder Unit | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2006-12-04 |
| Street Address |
100 EAGLEVILLE RD |
| City | EAGLEVILLE |
| State | PA |
| Zip Code | 19403-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216068 | Robert S Wilson | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2005-12-22 |
| 1760099105 | Roman Krutikov | Physician Assistant | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2020-09-29 |
| 1467887331 | Eagleville Hospital | Pharmacy | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2013-09-10 |
| 1609176601 | Lara Louise Macumber | Pharmacist | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2010-10-25 |
| 1194956011 | Eagleville Hospital | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2009-07-28 |
| 1386875292 | Eagleville Hospital | Psychiatry & Neurology | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2009-07-28 |
| 1235276320 | Richard Harvey Spiegel | General Practice | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2007-01-30 |
| 1295871119 | Anthony Repici | General Practice | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2007-01-29 |
| 1710023650 | Thurman Davis Booker | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2007-01-29 |
| 1568524742 | Eagleville Hospital | Psychiatric Unit | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1255951869 | Jillian Nicole Zerbe | Student in an Organized Health Care Education/Training Program | 3005 Concord Cir, Eagleville, PA 19403 | 2020-04-23 |
| 1649745951 | Gigi Y Frasse | Nurse Practitioner | 10000 Shannondell Drive Main Line Healthcare, Audobon, PA 19403 | 2018-10-12 |
| 1831616002 | Sharlee Dischert | Occupational Therapist | The Arc Alliance Children's Services, 3075 Ridge Pike, Eagleville, PA 19403 | 2017-08-28 |
| 1033633029 | Lauren Aaronson | Social Worker | 2418 Single Tree Lane, Trooper, PA 19403 | 2017-08-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1720526080 | Dayna Greiner | Speech-Language Pathologist | 70 Bristol Court, Eagleville, PA 19403 | 2017-02-07 |
| 1669928636 | Samantha L Hankey | Specialist/Technologist | 1208 Stonybrook Dr, Norristown, PA 19403 | 2016-08-30 |
| 1154788008 | Noel Patrick Hamilton | Nurse Practitioner | 508 Bassett Lane, Norristown, PA 19403 | 2016-01-23 |
| 1265866115 | Christiana Jo Silcox | Counselor | 128 Riversedge Drive, Jeffersonville, PA 19403 | 2013-08-28 |
| Find all providers in zip 19403 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016867 | Matthew Alexander Walukonis | Substance Abuse Rehabilitation Facility | 933 S Queen St, York, PA 17403-3935 | 2020-06-04 |
| 1598385924 | Heuer House | Substance Abuse Rehabilitation Facility | 514 Monongahela Ave, Glassport, PA 15045-1425 | 2020-04-27 |
| 1851911523 | Enlightened Solutions Philadelphia,llc | Substance Abuse Rehabilitation Facility | 25 Bala Ave Ste 202, Bala Cynwyd, PA 19004-3215 | 2020-04-22 |
| 1588283832 | Summit Bhc Meadville LLC | Substance Abuse Rehabilitation Facility | 535 Williamson Rd, Meadville, PA 16335-2848 | 2020-04-15 |
| 1538796792 | Genesis House Ministries Inc | Substance Abuse Rehabilitation Facility | 395 E Main St, Uniontown, PA 15401-4347 | 2020-03-26 |
| 1689216574 | Water Gap Capital Partners LLC | Substance Abuse Rehabilitation Facility | 288 Mountain Road, Delaware Water Gap, PA 18327 | 2019-10-11 |
| 1386201713 | Just Believe Recovery Center At Mountains Edge LLC | Substance Abuse Rehabilitation Facility | 306 Sugar Hill Rd, Union Dale, PA 18470-7397 | 2019-05-21 |
| 1689230674 | Snug Harbor Rehabilitation and Recovery LLC | Substance Abuse Rehabilitation Facility | 4638 E Lake Rd, Erie, PA 16511-1410 | 2019-05-15 |
| 1871157115 | Pyramid Healthcare Inc. | Substance Abuse Rehabilitation Facility | 5849 Lincoln Hwy, York, PA 17406-8903 | 2019-04-23 |
| 1962965145 | Providence Living LLC | Substance Abuse Rehabilitation Facility | 1528 Walnut St Ste 1410, Philadelphia, PA 19102-3610 | 2019-04-13 |
| Find all providers with the same taxonomy | ||||
| City | EAGLEVILLE |
| Zip Code | 19403 |
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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.