institution
City Of Philadelphia
Federally Qualified Health Center (FQHC) in Philadelphia, Pennsylvania
NPI 1740397769

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 1740397769 and holds a License No. (Pennsylvania).

The current practice location address for City Of Philadelphia is 555 S 43Rd St, Philadelphia, PA and can be reached out via phone at 215-685-7522 and via fax at 215-685-6848.

Location: 555 S 43Rd St, Philadelphia, PA, 19107-2911
institution
Provider Profile Details
NPI Number
1740397769
Provider Name
City Of Philadelphia
Credential
Provider Entity Type
Organization
Address
555 S 43Rd St, Philadelphia, PA, 19107-2911
Phone Number
215-685-7522
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
1000076950009 05 PA
66692 01 PA HIGH MARK BLUE SHIELD
100083 05 PA
G0004744 05 PA
institution
Provider Business Practice Location Address Details
Address
555 S 43Rd St
City
State
Zip
19104-4408
Phone Number
215-685-7522
Fax Number
215-685-6848
person
Provider Business Mailing Address Details
Address
555 S 43Rd St
City
State
Zip
19104-4408
Phone Number
215-685-7522
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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