| Gpha- Spectrum Behavioral Srvs. | |
|
1489 Baltimore Pike, Building 300, Suite 300 The Mills Of Victoria Springfield PA 19064-6024 | |
| (484) 472-7430 | |
| (484) 472-7718 |
| Full Name | Gpha- Spectrum Behavioral Srvs. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1489 Baltimore Pike, Building 300, Suite 300, Springfield, Pennsylvania |
| Authorized Official Name and Position | D. Tina Smith (PROVIDER ENROLLMENT SPEC.) |
| Authorized Official Contact | 2159252400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gpha- Spectrum Behavioral Srvs. 1401 S 31st St Fl 2 Philadelphia PA 19146-3506 Ph: (215) 925-2400 | Gpha- Spectrum Behavioral Srvs. 1489 Baltimore Pike, Building 300, Suite 300 The Mills Of Victoria Springfield PA 19064-6024 Ph: (484) 472-7430 |
| NPI Number | 1467976001 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9537064977 |
|---|---|
| Medicare Enrollment ID | O20170921003302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467976001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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