institution
Covenant House Inc
Federally Qualified Health Center (FQHC) in Philadelphia, Pennsylvania
NPI 1659462679

Covenant House Inc is a Federally Qualified Health Center (FQHC) based in Philadelphia, PA and is specialized in Federally Qualified Health Center (FQHC). Covenant House Inc practices in Philadelphia, PA. The NPI Number for Covenant House Inc is 1659462679 and holds a License No. 032220 (Pennsylvania).

The current practice location address for Covenant House Inc is 251 East Bringhurst Street, Philadelphia, PA and can be reached out via phone at 215-844-1020 and via fax at 215-844-2702.

Location: 251 East Bringhurst Street, Philadelphia, PA, 19144
institution
Provider Profile Details
NPI Number
1659462679
Provider Name
Covenant House Inc
Credential
Provider Entity Type
Organization
Address
251 East Bringhurst Street, Philadelphia, PA, 19144
Phone Number
215-844-1020
Fax Number
215-844-2702
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1026476 01 KEYSTONE MERCY HEALTH PLA
1007564460003 05 PA
0073796701 01 AMERI CHOICE
00652 01 HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
251 East Bringhurst Street
City
State
Zip
19144
Phone Number
215-844-1020
Fax Number
215-844-2702
person
Provider Business Mailing Address Details
Address
251 East Bringhurst Street
City
State
Zip
19144
Phone Number
215-844-1020
Fax Number
215-844-2702
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
032220 (Pennsylvania)
Definition
Definition to come...
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