| Intercommunity Action, Inc | |
|
6122 Ridge Ave Phila PA 19128-1603 | |
| (215) 487-1330 | |
| Not Available |
| Full Name | Intercommunity Action, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6122 Ridge Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | Shronda Peterson (IT CONSULTANT) |
| Authorized Official Contact | 2154870904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercommunity Action, Inc 6012 Ridge Ave Phila PA 19128-1643 Ph: (215) 487-0906 | Intercommunity Action, Inc 6122 Ridge Ave Phila PA 19128-1603 Ph: (215) 487-1330 |
| NPI Number | 1578608014 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578608014 | NPI | - | NPPES |
| 1000008360061 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Intercommunity Action, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4667 Umbria St, Phila, PA 19127 Phone: 215-508-6710 | |
S.g. Isaacs Enterprises, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 823 Magee Ave, Phila, PA 19111 Phone: 215-342-8690 | |
Intercommunity Action, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Salaignac St, Phila, PA 19128 Phone: 215-487-1330 | |
Inrercommunity Action, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 N Broad St, Temple Clinic, Phila, PA 19140 Phone: 215-487-1330 | |
Sami Khella Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 N 39th St # Mob320, Phila, PA 19104 Phone: 215-387-2052 Fax: 215-222-1856 | |
Intercommunity Action, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 Midvale Ave, Phila, PA 19129 Phone: 215-487-1330 | |
Intercommunity Action, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1526 Fairmount Ave, Phila, PA 19130 Phone: 215-487-1330 |