Organization · Type 2 NPI

Wedge Medical Center

Community/Behavioral Health Agency · Philadelphia, PA

NPI number 1336792316 Active

Practice location

3600 Germantown Ave
Philadelphia, PA 19140-4226

Call (215) 223-3600 Map

Fax (215) 223-2100

Mailing address

6711 Old York Rd Ofc
Philadelphia, PA 19126-2841

Other practice locations

3604 Germantown Ave, Philadelphia, PA 19140-4226 · (215) 223-3600

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…

Another provider at this address

WMCCommunity/Behavioral Health Agency Philadelphia, PA NPI 1306468756

Other community/behavioral health agency providers in Philadelphia

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NPI record

NPI: 1336792316
Entity type: Organization (Type 2)
Issued: Jul 19, 2019
Last updated: Jan 12, 2021
Status: Active
Subpart: Yes of Wedge Medical Center, PC

Other names

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Wedge Medical Center, PC · other name

Authorized official

Takisa Gallman
VP Administrative Services
(215) 276-3922

Verify this record

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 1336792316

Wedge Medical Center's National Provider Identifier is 1336792316, issued on Jul 19, 2019. 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.