Organization · Type 2 NPI

WMC

Community/Behavioral Health Agency · Philadelphia, PA

NPI number 1063464055 Active

Practice location

6701 N Broad St
Philadelphia, PA 19126-2837

Call (215) 276-3922 Map

Fax (215) 924-4485

Mailing address

6711 Old York Rd
Philadelphia, PA 19126-2841

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

7 other providers at this address

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NPI record

NPI: 1063464055
Entity type: Organization (Type 2)
Issued: May 17, 2006
Last updated: Jan 12, 2021
Status: Active

Other names

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The Wedge Medical Center · doing business as
The Wedge Medical Center · doing business as

Authorized official

Takisa S Gallman
VP Administrative Services
(215) 276-3922

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063464055

WMC's National Provider Identifier is 1063464055, issued on May 17, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 12, 2021.