ROGERS MEMORIAL HOSPITAL INC (NPI# 1699288142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699288142 |
| Entity Type | Organization |
| Organization Name | ROGERS MEMORIAL HOSPITAL INC |
| Other Organization Name | ROGERS BEHAVIORAL HEALTH |
| Practice Address |
1 Winding Dr Ste 106 Philadelphia PA 19131-2907 |
| Mailing Address |
34700 Valley Rd Oconomowoc WI 53066-4500 |
| Practice Telephone | 2677876600 |
| Practice Fax Number | 2677876819 |
| Mailing Telephone | 2626461053 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | ARNOLD STUEBER (CFO) |
| Authorized Official Telephone | 2626466318 |
| Authorized Official Credential | MBA, CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rogers Behavioral Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 Neill Dr Ste 106, Philadelphia, PA 191312907 | 2677876600 | |
| 3600 Neill Dr., Suite 106, Philadelphia, PA 191312907 | 2677876600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205337961 | Rogers Memorial Hospital Inc | Clinic/Center | 2002 N Lois Ave Ste 400, Tampa, FL 33607-2394 | 2018-02-27 |
| 1013420561 | Rogers Memorial Hospital Inc | Clinic/Center | 6442 City West Pkwy Ste 200, Eden Prairie, MN 55344-3245 | 2017-11-07 |
| 1700387461 | Rogers Memorial Hospital Inc | Clinic/Center | 4230 Harding Pike Ste 707, Nashville, TN 37205-2031 | 2018-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROGERS MEMORIAL HOSPITAL INCORPORATED | 34700 Valley Rd, Oconomowoc, WI 53066-4500 |
| Street Address |
1 WINDING DR STE 106 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1720429608 | Raices Pastoral Counseling and Human Development Center, Inc | Clinic/Center | 6001 Colgate St, Philadelphia, PA 19111-6004 | 2013-07-09 |
| 1659658938 | Family Behavioral and Mental Health Center, Inc. | Clinic/Center | 3040 Kensington Ave, Philadelphia, PA 19134-2416 | 2011-11-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
Please comment or provide details below to improve the information on ROGERS MEMORIAL HOSPITAL INC.
| 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.