| Esperanza Health Center, Inc. | |
|
861 E Allegheny Ave Philadelphia PA 19134-2401 | |
| (215) 831-1100 | |
| (215) 831-0500 |
| Full Name | Esperanza Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 861 E Allegheny Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Glenna J Deem (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 2153023150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esperanza Health Center, Inc. 4417 N. 6th St. Philadelphia PA 19140-2319 Ph: (215) 302-3600 | Esperanza Health Center, Inc. 861 E Allegheny Ave Philadelphia PA 19134-2401 Ph: (215) 831-1100 |
| NPI Number | 1306896394 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 08/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306896394 | NPI | - | NPPES |
| 1007734560008 | Medicaid | PA | |
| 1007734560010 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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