| Casa De Consejeria Y Salud Integral, Inc. | |
|
213 W Allegheny Ave Philadelphia PA 19133-3617 | |
| (215) 634-3259 | |
| Not Available |
| Full Name | Casa De Consejeria Y Salud Integral, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 213 W Allegheny Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Farelen Gonzalez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2156343259 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De Consejeria Y Salud Integral, Inc. 213 W Allegheny Ave Philadelphia PA 19133-3617 Ph: (215) 634-3259 | Casa De Consejeria Y Salud Integral, Inc. 213 W Allegheny Ave Philadelphia PA 19133-3617 Ph: (215) 634-3259 |
| NPI Number | 1972777522 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 09/24/2018 |
| Medicare PECOS PAC ID | 0941747281 |
|---|---|
| Medicare Enrollment ID | O20240803000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972777522 | NPI | - | NPPES |
| 0016561660001 | Medicaid | PA | |
| 0016561660003 | Medicaid | PA | |
| 0016561660002 | Medicaid | PA |
| Provider Name | Ramesh Parchuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437224300 PECOS PAC ID: 1951552124 Enrollment ID: I20121116000077 |
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