institution
Covenant House, Inc
Federally Qualified Health Center (FQHC) in Philadelphia, Pennsylvania
NPI 1821589615

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 1821589615 and holds a License No. 032220 (Pennsylvania).

The current practice location address for Covenant House, Inc is 2385 W Cheltenham Ave., Philadelphia, PA and can be reached out via phone at 215-877-7300 and via fax at 215-844-1020.

Location: 2385 W Cheltenham Ave., Philadelphia, PA, 19150
institution
Provider Profile Details
NPI Number
1821589615
Provider Name
Covenant House, Inc
Credential
Provider Entity Type
Organization
Address
2385 W Cheltenham Ave., Philadelphia, PA, 19150
Phone Number
215-877-7300
Fax Number
215-844-1020
Provider Enumeration Date
05/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007564460003 05 PA
institution
Provider Business Practice Location Address Details
Address
2385 W Cheltenham Ave.
City
State
Zip
19150
Phone Number
215-877-7300
Fax Number
215-844-1020
person
Provider Business Mailing Address Details
Address
2385 W Cheltenham Ave.
City
State
Zip
19150
Phone Number
215-877-7300
Fax Number
215-844-1020
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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