| Partridge Comprehensive Health Services Inc | |
|
1717 Meadow St Philadelphia PA 19124-3325 | |
| (215) 744-3737 | |
| (215) 744-1897 |
| Full Name | Partridge Comprehensive Health Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1717 Meadow St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Evelyn Elizabeth Partridge (PHYSICIAN) |
| Authorized Official Contact | 2157443737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partridge Comprehensive Health Services Inc 1717 Meadow St Philadelphia PA 19124-3325 Ph: (215) 744-3737 | Partridge Comprehensive Health Services Inc 1717 Meadow St Philadelphia PA 19124-3325 Ph: (215) 744-3737 |
| NPI Number | 1982747994 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/17/2009 |
| Medicare PECOS PAC ID | 2264691260 |
|---|---|
| Medicare Enrollment ID | O20120312000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982747994 | NPI | - | NPPES |
| 0857651 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS004452L (Pennsylvania) | Primary |
| Provider Name | Evelyn Elizabeth Partridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326121427 PECOS PAC ID: 3173782174 Enrollment ID: I20120315000417 |
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