institution
City Of Philadelphia
Federally Qualified Health Center (FQHC) in Philadelphia, Pennsylvania
NPI 1417064353

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 1417064353 and holds a License No. (Pennsylvania).

The current practice location address for City Of Philadelphia is 2840 W Dauphin St, Philadelphia, PA and can be reached out via phone at 215-685-2403 and via fax at 215-685-6848.

Location: 2840 W Dauphin St, Philadelphia, PA, 19107-2911
institution
Provider Profile Details
NPI Number
1417064353
Provider Name
City Of Philadelphia
Credential
Provider Entity Type
Organization
Address
2840 W Dauphin St, Philadelphia, PA, 19107-2911
Phone Number
215-685-2403
Fax Number
215-685-6848
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
66692 01 PA HIGHMARK BLUE SHIELD
G0001311 05 PA
00900 05 PA
1000076950015 05 PA
1008117 05 PA
institution
Provider Business Practice Location Address Details
Address
2840 W Dauphin St
City
State
Zip
19132-4627
Phone Number
215-685-2403
Fax Number
215-685-6848
person
Provider Business Mailing Address Details
Address
2840 W Dauphin St
City
State
Zip
19132-4627
Phone Number
215-685-2403
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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