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Contact Information

CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
230 W WASHINGTON SQ
5TH FLOOR
PHILADELPHIA, PA19106-3500
 Phone: 215-829-3668
 Fax: 215-829-5002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST

NPI Number 1942319777
LBN Legal business name CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
Authorized official RONALD BARG - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2006
Last updated 10/25/2013 - About 13 years ago
Identifiers
PA Medicaid 1007306640
PA Other 2925755 AETNA
PA Other 1413752 BLUE SHIELD
PA Other 3Y30390 HEALTHNET
PA Other 2101020000 KEYSTONE
PA Other 30002008 KEYSTONE MERCY
PA Other CB8575 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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