Provider Demographics
NPI:1699926071
Name:CHEYNEY UNIVERSITY OF PENNSYLVANIA
Entity type:Organization
Organization Name:CHEYNEY UNIVERSITY OF PENNSYLVANIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOC PROVOST FOR STUDENT SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:EPPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-399-2217
Mailing Address - Street 1:740 CHEYNEY RD
Mailing Address - Street 2:P.O. BOX 200
Mailing Address - City:CHEYNEY
Mailing Address - State:PA
Mailing Address - Zip Code:19319-1018
Mailing Address - Country:US
Mailing Address - Phone:610-399-2217
Mailing Address - Fax:610-399-2128
Practice Address - Street 1:740 CHEYNEY RD
Practice Address - Street 2:ROGERS & MCKNIGHT BUILDING
Practice Address - City:CHEYNEY
Practice Address - State:PA
Practice Address - Zip Code:19319-1018
Practice Address - Country:US
Practice Address - Phone:610-399-2260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility