| Philadelphia Health Management Corporation | |
|
1035 W Berks St Philadelphia PA 19122-1909 | |
| (215) 765-6690 | |
| (215) 765-6694 |
| Full Name | Philadelphia Health Management Corporation |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1035 W Berks St, Philadelphia, 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 |
|---|---|
| Philadelphia Health Management Corporation 260 S Broad St Fl 18 Philadelphia PA 19102-5000 Ph: (215) 765-6690 | Philadelphia Health Management Corporation 1035 W Berks St Philadelphia PA 19122-1909 Ph: (215) 765-6690 |
| NPI Number | 1194822155 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 04/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194822155 | NPI | - | NPPES |
| 1000016640039 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Pennsylvania) | Primary |
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