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PENROSE MEDICAL CENTER, INC
NPI 1417132929
Clinic/Center - Primary Care in Philadelphia, PA

Active since January 03, 2008
1603 E WADSWORTH AVE, PHILADELPHIA, PA 19150(215) 242-2439(215) 242-2596 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Penrose Medical Center, Inc NPPES

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

PENROSE MEDICAL CENTER, INC (NPI 1417132929) is a healthcare organization registered as a primary care in Philadelphia, Pennsylvania and active in the NPI registry since January 2008. The organization lists Daniel P Coachi, President, as its authorized official.

NPPES Registry Identity

NPI1417132929
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePENROSE MEDICAL CENTER, INC
Location Address1603 E WADSWORTH AVEPhiladelphia, PA 19150-1019
Mailing Address1603 E Wadsworth AvePhiladelphia, PA 19150-1019 · (215) 242-2439 · Fax (215) 242-2596
Phone(215) 242-2439
Fax(215) 242-2596
Organization SubpartNo
Authorized OfficialDaniel P CoachiPresident · (215) 276-8788
Enumeration DateJanuary 3, 2008
Last NPPES UpdateNovember 19, 2015
✔ NPI 1417132929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in PA · MD066378L
1603 E WADSWORTH AVE, Philadelphia, PA 19150
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Other Identifiers 1

Medicaid0017863200005PA

Other Providers at the Same Location NPPES 2

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

DR. DANIEL COACHI MD
Emergency Medicine
1603 E WADSWORTH AVE
PHILADELPHIA, PA 19150
Philadelphia County (215) 242-2439
DOMINIQUE ETIENNE PA-C
Physician Assistant
1603 E WADSWORTH AVE
PHILADELPHIA, PA 19150
Philadelphia County (215) 242-2439

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 Penrose Medical Center, Inc's NPI number?

The NPI number for Penrose Medical Center, Inc is 1417132929. It was assigned to this organization in the NPPES registry on January 3, 2008.

Where is Penrose Medical Center, Inc located?

Penrose Medical Center, Inc is located at 1603 E Wadsworth Ave, Philadelphia, PA 19150. The listed phone number is (215) 242-2439.

What is Penrose Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Penrose Medical Center, Inc was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.