institution
Covenant House Inc.
Federally Qualified Health Center (FQHC) in Philadelphia, Pennsylvania
NPI 1720361447

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 1720361447 and holds a License No. 032220 (Pennsylvania).

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

Location: 251 E Bringhurst St, Philadelphia, PA, 19144-1719
institution
Provider Profile Details
NPI Number
1720361447
Provider Name
Covenant House Inc.
Credential
Provider Entity Type
Organization
Address
251 E Bringhurst St, Philadelphia, PA, 19144-1719
Phone Number
215-844-1020
Fax Number
215-844-2702
Provider Enumeration Date
09/20/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00652 01 PA HEALTH PARTNERS
1007564460003 05 PA
institution
Provider Business Practice Location Address Details
Address
251 E Bringhurst St
City
State
Zip
19144-1719
Phone Number
215-844-1020
Fax Number
215-844-2702
person
Provider Business Mailing Address Details
Address
251 E Bringhurst St
City
State
Zip
19144-1719
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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