Comhar Inc | |
2055 E Allegheny Ave Philadelphia PA 19134-3832 | |
(215) 203-3037 | |
(215) 203-3078 |
Full Name | Comhar Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 2055 E Allegheny Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Trapeta B Mayson (INTERIM CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2675419204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Comhar Inc 100 W Lehigh Ave Philadelphia PA 19133-4039 Ph: (215) 203-3037 | Comhar Inc 2055 E Allegheny Ave Philadelphia PA 19134-3832 Ph: (215) 203-3037 |
NPI Number | 1144343724 |
---|---|
Provider Enumeration Date | 04/09/2007 |
Last Update Date | 10/29/2024 |
Certification Date | 10/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144343724 | NPI | - | NPPES |
1000004060112 | Medicaid | PW | |
600001921 | Other | PA | MAGELLAN 19133 3849 |
600001922 | Other | PA | MAGELLAN 19149 1229 |
600001925 | Other | PA | MAGELLAN 19121 2217 |
600001928 | Other | PA | MAGELLAN 19144 2153 |
1000004060107 | Medicaid | PA | |
1000004060109 | Medicaid | PA | |
1000004060111 | Medicaid | PA | |
1000004060110 | Medicaid | PA | |
600001917 | Other | PA | MAGELLAN 19134 3832 |
1000004060136 | Medicaid | PA | |
1000004060137 | Medicaid | PA | |
600001919 | Other | PA | MAGELLAN 19107 1913 |
1000004060108 | Medicaid | PA | |
1000004060138 | Medicaid | PA | |
600001923 | Other | PA | MAGELLAN 19104 1361 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | 104560 (Pennsylvania) | Primary |
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