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KENSINGTON HOSPITAL- INTENSIVE OUTPATIENT PROGRAM
NPI 1336302017
Clinic/Center - Methadone in Philadelphia, PA

Active since July 03, 2008
136 DIAMOND ST, PHILADELPHIA, PA 19122(215) 426-8100(215) 965-2344 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kensington Hospital- Intensive Outpatient Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENSINGTON HOSPITAL- INTENSIVE OUTPATIENT PROGRAM (NPI 1336302017) is a healthcare organization registered as a methadone in Philadelphia, Pennsylvania and active in the NPI registry since July 2008. The organization lists Eileen Hause, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336302017
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameKENSINGTON HOSPITAL- INTENSIVE OUTPATIENT PROGRAM
Location Address136 DIAMOND STPhiladelphia, PA 19122-1721
Mailing Address136 Diamond StPhiladelphia, PA 19122-1721 · (215) 426-8100 · Fax (215) 965-2344
Phone(215) 426-8100
Fax(215) 965-2344
Organization SubpartYesParent: Kensington Hospital
Authorized OfficialEileen HauseCeo · (215) 426-8100
Enumeration DateJuly 3, 2008
✔ NPI 1336302017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in PA · 807340
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
136 DIAMOND ST, Philadelphia, PA 19122
Open in Google Maps ↗

Other Identifiers 1

Medicaid1007717290019PA

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MYRYAN A. LIZAMA
Counselor (Mental Health)
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (267) 271-6199
KENSINGTON HOSPITAL
General Acute Care Hospital
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
KATHERYN KUCHARSKI
Social Worker
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION
Community/Behavioral Health
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
CHAUDHRY & ASSOCIATES, INC.
Dentist
136 DIAMOND ST, DENTAL CLINIC
PHILADELPHIA, PA 19122
Philadelphia County (215) 291-6004
KENSINGTON HOSPITAL
Clinical Medical Laboratory
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
DR. JOSE BOSSBALY M.D.
Internal Medicine
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
KENSINGTON HOSPITAL- FAMILY PLANNING CLINIC
Clinic/Center (Ambulatory Family Planning Facility)
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kensington Hospital- Intensive Outpatient Program's NPI number?

The NPI number for Kensington Hospital- Intensive Outpatient Program is 1336302017. It was assigned to this organization in the NPPES registry on July 3, 2008.

Where is Kensington Hospital- Intensive Outpatient Program located?

Kensington Hospital- Intensive Outpatient Program is located at 136 Diamond St, Philadelphia, PA 19122. The listed phone number is (215) 426-8100.

What is Kensington Hospital- Intensive Outpatient Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Kensington Hospital- Intensive Outpatient Program was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.