| Greater Phila Health Action, Inc. | |
|
1401 S. 4th Street 4th Floor Philadelphia PA 19147-5948 | |
| (215) 339-1029 | |
| (215) 952-6966 |
| Full Name | Greater Phila Health Action, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1401 S. 4th Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | D Tina Smith (PROVIDER ENROLLMENT SPEC.) |
| Authorized Official Contact | 2159252400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Phila Health Action, Inc. 1401 S. 31st Street 2nd Floor Philadelphia PA 19146-3506 Ph: (215) 925-2400 | Greater Phila Health Action, Inc. 1401 S. 4th Street 4th Floor Philadelphia PA 19147-5948 Ph: (215) 339-1029 |
| NPI Number | 1447294186 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 03/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447294186 | NPI | - | NPPES |
| 1001374480022 | Medicaid | PA | |
| 391935 | Other | MEDICARE ID |
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