| Maternal Child Consourtium, Inc. | |
|
2055 Brownsville Road Feasterville-trevose PA 19053-3532 | |
| (267) 525-7000 | |
| (267) 525-7010 |
| Full Name | Maternal Child Consourtium, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2055 Brownsville Road, Feasterville-trevose, Pennsylvania |
| Authorized Official Name and Position | Kenneth W. Brownell (CEO) |
| Authorized Official Contact | 2675257000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maternal Child Consourtium, Inc. 800 Clarmont Avenue Suite B Bensalem PA 19020-5705 Ph: (267) 525-7000 | Maternal Child Consourtium, Inc. 2055 Brownsville Road Feasterville-trevose PA 19053-3532 Ph: (267) 525-7000 |
| NPI Number | 1700357555 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 12/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700357555 | NPI | - | NPPES |
| 1007762890001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Maternal Child Consortium, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2055 Brownsville Rd, Feasterville-trevose, PA 19053 Phone: 267-525-7000 Fax: 267-525-7010 |