| Maternal Chil Consortium, Inc | |
|
2215 Hulmeville Road Bensalem PA 19020-5705 | |
| (267) 525-7000 | |
| (267) 525-7010 |
| Full Name | Maternal Chil Consortium, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2215 Hulmeville Road, Bensalem, Pennsylvania |
| Authorized Official Name and Position | Kenneth W Brownell (CEO) |
| Authorized Official Contact | 2675257000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maternal Chil Consortium, Inc 800 Clarmont Ave Suite B Bensalem PA 19020-5705 Ph: (267) 525-7000 | Maternal Chil Consortium, Inc 2215 Hulmeville Road Bensalem PA 19020-5705 Ph: (267) 525-7000 |
| NPI Number | 1255005856 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 08/06/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255005856 | NPI | - | NPPES |
| 107762890003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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