institution
City Of Philadelphia
Federally Qualified Health Center (FQHC) in Philadelphia, Pennsylvania
NPI 1144337189

City Of Philadelphia is a Federally Qualified Health Center (FQHC) based in Philadelphia, PA and is specialized in Federally Qualified Health Center (FQHC). City Of Philadelphia practices in Philadelphia, PA. The NPI Number for City Of Philadelphia is 1144337189 and holds a License No. (Pennsylvania).

The current practice location address for City Of Philadelphia is 4400 Haverford Ave, Philadelphia, PA and can be reached out via phone at 215-685-7628 and via fax at 215-685-6848.

Location: 4400 Haverford Ave, Philadelphia, PA, 19107-2911
institution
Provider Profile Details
NPI Number
1144337189
Provider Name
City Of Philadelphia
Credential
Provider Entity Type
Organization
Address
4400 Haverford Ave, Philadelphia, PA, 19107-2911
Phone Number
215-685-7628
Fax Number
215-685-6848
Provider Enumeration Date
08/24/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000076950010 05 PA
G0004755 05 PA
100084 05 PA
33104 05 PA
66692 01 PA HIGHMARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4400 Haverford Ave
City
State
Zip
19104-1361
Phone Number
215-685-7628
Fax Number
215-685-6848
person
Provider Business Mailing Address Details
Address
4400 Haverford Ave
City
State
Zip
19104-1361
Phone Number
215-685-7628
Fax Number
215-685-6848
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Pennsylvania)
Definition
Definition to come...
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