Organization · Type 2 NPI

City of Philadelphia

Federally Qualified Health Center (FQHC) · Philadelphia, PA

NPI number 1144337189 Active

Practice location

4400 Haverford Ave
Philadelphia, PA 19104-1361

Call (215) 685-7628 Map

Fax (215) 685-6848

Mailing address

1101 Market St Fl 10, Revenue Management
Philadelphia, PA 19107-2911

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1144337189

City of Philadelphia's National Provider Identifier is 1144337189, issued on Aug 24, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 25, 2019.