Organization · Type 2 NPI
Covenant House, Inc
Federally Qualified Health Center (FQHC) · Philadelphia, PA
NPI number
1528392008
Active
Practice location
8125 Stenton Ave
Philadelphia, PA 19150-3530
Fax (215) 248-7564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 032220 (PA) |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
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About NPI 1528392008
Covenant House, Inc's National Provider Identifier is 1528392008, issued on Sep 30, 2009. 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 Dec 20, 2023.