institution
City Of Philadelphia
Federally Qualified Health Center (FQHC) in Philadelphia, Pennsylvania
NPI 1942317094

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 1942317094 and holds a License No. (Pennsylvania).

The current practice location address for City Of Philadelphia is 1700 S Broad St Apt 201, Philadelphia, PA and can be reached out via phone at 215-685-1803 and via fax at 215-685-1815.

Location: 1700 S Broad St Apt 201, Philadelphia, PA, 19146-1613
institution
Provider Profile Details
NPI Number
1942317094
Provider Name
City Of Philadelphia
Credential
Provider Entity Type
Organization
Address
1700 S Broad St Apt 201, Philadelphia, PA, 19146-1613
Phone Number
215-685-1803
Fax Number
215-685-1815
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000076950098 05 PA
G0002730 05 PA
16792 05 PA
1002859 05 PA
institution
Provider Business Practice Location Address Details
Address
1700 S Broad St Apt 201
City
State
Zip
19145-2340
Phone Number
215-685-1803
Fax Number
215-685-1815
person
Provider Business Mailing Address Details
Address
1700 S Broad St Apt 201
City
State
Zip
19145-2340
Phone Number
215-685-1803
Fax Number
215-685-1815
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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