Organization · Type 2 NPI

Public Health Management Corp

Federally Qualified Health Center (FQHC) · Philadelphia, PA

NPI number 1194822155 Active

Practice location

1035 W Berks St
Philadelphia, PA 19122-1909

Fax (215) 765-6694

Mailing address

260 S Broad St Fl 18
Philadelphia, PA 19102-5000

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 1194822155

Public Health Management Corp's National Provider Identifier is 1194822155, issued on Sep 20, 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 Apr 11, 2012.