| Inrercommunity Action, Inc | |
|
3401 N Broad St Temple Clinic Phila PA 19140-5103 | |
| (215) 487-1330 | |
| Not Available |
| Full Name | Inrercommunity Action, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3401 N Broad St, Phila, Pennsylvania |
| Authorized Official Name and Position | David Bolin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2154870906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inrercommunity Action, Inc 6012 Ridge Ave Phila PA 19128-1643 Ph: (215) 487-0906 | Inrercommunity Action, Inc 3401 N Broad St Temple Clinic Phila PA 19140-5103 Ph: (215) 487-1330 |
| NPI Number | 1154466282 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154466282 | NPI | - | NPPES |
| 1000008360105 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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