| Gpha 4th Street Medical Suite | |
|
1401 S. 4th Street 4th Floor Philadelphia PA 19147-5948 | |
| (215) 339-1079 | |
| (215) 952-6966 |
| Full Name | Gpha 4th Street Medical Suite |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 S. 4th Street, 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 |
|---|---|
| Gpha 4th Street Medical Suite 1401 S. 31st Street 2nd Floor Philadelphia PA 19146-3506 Ph: (215) 925-2400 | Gpha 4th Street Medical Suite 1401 S. 4th Street 4th Floor Philadelphia PA 19147-5948 Ph: (215) 339-1079 |
| NPI Number | 1144274077 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 03/15/2017 |
| Medicare PECOS PAC ID | 9537064977 |
|---|---|
| Medicare Enrollment ID | O20101210000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144274077 | NPI | - | NPPES |
| 1001374480022 | Medicaid | PA |
Solis Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4692 Fax: 215-487-4274 | |
Apm Mental Health Psychiatric Outpatient Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 N 5th St, Philadelphia, PA 19133 Phone: 215-259-3373 Fax: 267-329-9728 | |
University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104 Phone: 215-614-1828 | |
The Phil.consultation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 S 16th St, Philadelphia, PA 19102 Phone: 215-732-8244 Fax: 215-732-8454 | |
Immanuel Care Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Dorel St, Philadelphia, PA 19142 Phone: 267-403-8313 | |
Npsyt Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6327 Burbridge St, Philadelphia, PA 19144 Phone: 215-991-9066 Fax: 215-991-9062 | |
Menergy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Germantown Ave, New Covenant Campus, Elders Hall, Suite 5, Philadelphia, PA 19119 Phone: 215-242-2235 |