| Rising Sun Health Center | |
|
5675 N Front St Phila PA 19120-2719 | |
| (215) 279-9666 | |
| (215) 279-9674 |
| Full Name | Rising Sun Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5675 N Front St, Phila, Pennsylvania |
| Authorized Official Name and Position | Frank Killian (DIRECTOR-OPERATIONS) |
| Authorized Official Contact | 2159852514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Sun Health Center 1500 Market St Lm 500 West Tower Phila PA 19102-2100 Ph: (215) 985-2500 | Rising Sun Health Center 5675 N Front St Phila PA 19120-2719 Ph: (215) 279-9666 |
| NPI Number | 1306285176 |
|---|---|
| Provider Enumeration Date | 06/14/2013 |
| Last Update Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306285176 | NPI | - | NPPES |
| 1000016640061 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Pennsylvania) | Primary |
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