POTTSTOWN HOSPITAL, LLC (NPI# 1063931541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063931541 |
| Entity Type | Organization |
| Organization Name | POTTSTOWN HOSPITAL, LLC |
| Other Organization Name | POTTSTOWN HOSPITAL |
| Practice Address |
1600 E High St Pottstown PA 19464-5008 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6103277000 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | GARY CONNER (EVP & 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 |
|---|---|
| Pottstown Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669983011 | Pottstown Hospital, LLC | Radiology | 1611 Medical Dr, Pottstown, PA 19464-3241 | 2017-10-12 |
| 1093225369 | Pottstown Hospital, LLC | Obstetrics & Gynecology | 1600 E High St, Pottstown, PA 19464-5008 | 2017-10-02 |
| 1164932430 | Pottstown Hospital, LLC | Family Medicine | 730 S Hanover St, Pottstown, PA 19465-7520 | 2017-10-02 |
| 1376061002 | Pottstown Hospital, LLC | Psychiatric Unit | 1600 E High St, Pottstown, PA 19464-5008 | 2017-09-01 |
| 1649794421 | Pottstown Hospital, LLC | General Acute Care Hospital | 1600 E High St, Pottstown, PA 19464-5008 | 2017-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | POTTSTOWN HOSPITAL, LLC | 1600 E High St, Pottstown, PA 19464-5008 |
| Street Address |
1600 E HIGH ST |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061090 | Gregory George Hill | Family Medicine | 1600 E High St, Pottstown, PA 19464-5008 | 2005-05-27 |
| 1184241119 | Stc Pediatrics LLC | Pediatrics | 1600 E High St, Pottstown, PA 19464-5008 | 2020-06-25 |
| 1114550530 | Pottstown Hospital LLC | Obstetrics & Gynecology | 1600 E High St, Pottstown, PA 19464-5008 | 2020-02-13 |
| 1013557909 | Pottstown Clinic Company LLC | Internal Medicine | 1600 E High St, Pottstown, PA 19464-5008 | 2020-01-09 |
| 1104464676 | Amaris Velazquez | Nurse Practitioner | 1600 E High St, Pottstown, PA 19464-5008 | 2019-12-16 |
| 1750924999 | Deborah L Clauss | Nurse Practitioner | 1600 E High St, Pottstown, PA 19464-5008 | 2019-10-21 |
| 1598326167 | Jonathan Papaharis | Nurse Practitioner | 1600 E High St, Pottstown, PA 19464-5008 | 2019-06-25 |
| 1942865290 | Matthew Ryan Good | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5008 | 2019-05-02 |
| 1427515428 | Matthew Natale | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5093 | 2019-02-26 |
| 1609359850 | Brianna Joy Heldt | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5008 | 2018-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447600416 | Pottstown Ambulatory Center, LLC | Clinic/Center | 20 N Sunnybrook Rd, Suite 2, Pottstown, PA 19464 | 2016-06-20 |
| 1023125929 | Pottstown Hospital Company LLC | Clinic/Center | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 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 | ||||
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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.