| Greater Philadelphia Health Action Inc. | |
|
800 Washington Ave Philadelphia PA 19147-4717 | |
| (215) 339-5100 | |
| (215) 454-6814 |
| Full Name | Greater Philadelphia Health Action Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Washington Ave, Philadelphia, 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 |
|---|---|
| Greater Philadelphia Health Action Inc. 1401 S 31st St 2nd Floor Philadelphia PA 19146-3506 Ph: (215) 925-2400 | Greater Philadelphia Health Action Inc. 800 Washington Ave Philadelphia PA 19147-4717 Ph: (215) 339-5100 |
| NPI Number | 1417902362 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 03/16/2017 |
| Medicare PECOS PAC ID | 9537064977 |
|---|---|
| Medicare Enrollment ID | O20031126000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417902362 | NPI | - | NPPES |
| 1001374480051 | Medicaid | PA |
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