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
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
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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.