| Maternal Child Consortium, Inc | |
|
4300 Bensalem Blvd Bensalem PA 19020-5705 | |
| (267) 525-7000 | |
| (267) 525-7810 |
| Full Name | Maternal Child Consortium, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4300 Bensalem Blvd, 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 Child Consortium, Inc 800 Clarmont Avneue Suite B Bensalem PA 19020-5705 Ph: (267) 525-7000 | Maternal Child Consortium, Inc 4300 Bensalem Blvd Bensalem PA 19020-5705 Ph: (267) 525-7000 |
| NPI Number | 1831706365 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831706365 | NPI | - | NPPES |
| 1007762890003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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