Organization · Type 2 NPI
Covenant House, Inc
Federally Qualified Health Center (FQHC) · Philadelphia, PA
NPI number
1821589615
Active
Practice location
2385 W Cheltenham Ave.
Philadelphia, PA 19150
Fax (215) 844-1020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 032220 (PA) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1821589615
Covenant House, Inc's National Provider Identifier is 1821589615, issued on May 29, 2018. 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 May 29, 2018.