| City Of Philadelphia | |
|
1930 S Broad St Unit 14, 5th Floor Philadelphia PA 19145-2328 | |
| (215) 685-1803 | |
| (215) 685-6700 |
| Full Name | City Of Philadelphia |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1930 S Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Janet Lynn Stevenson (REGIONAL MANAGER/FINANCIAL SERVICES) |
| Authorized Official Contact | 2156856792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Philadelphia 500 S Broad St 2nd Floor Philadelphia PA 19146-1613 Ph: (215) 685-6843 | City Of Philadelphia 1930 S Broad St Unit 14, 5th Floor Philadelphia PA 19145-2328 Ph: (215) 685-1803 |
| NPI Number | 1881018018 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881018018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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