Organization · Type 2 NPI
Philadelphia Dept. of Public Health
Federally Qualified Health Center (FQHC) · Philadelphia, PA
NPI number
1821172107
Active
Practice location
1101 Market St Fl 12
Philadelphia, PA 19107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1821172107
Philadelphia Dept. of Public Health's National Provider Identifier is 1821172107, issued on Oct 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 Jun 11, 2019.