| Public Health Management Corporation | |
|
4108 Parkside Ave Philadelphia PA 19104-1020 | |
| (215) 871-0300 | |
| Not Available |
| Full Name | Public Health Management Corporation |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4108 Parkside Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dorothy Pritchard (ADMIN./CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2159852595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Public Health Management Corporation 1500 Market St Lm 500 West Tower Attn: D. Pritchard/shs Philadelphia PA 19102-2100 Ph: () - | Public Health Management Corporation 4108 Parkside Ave Philadelphia PA 19104-1020 Ph: (215) 871-0300 |
| NPI Number | 1124555909 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124555909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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