| Phmc At Carson Valley | |
|
71 West Wissachickon Ave. Flourtown PA 19031 | |
| (215) 233-1960 | |
| Not Available |
| Full Name | Phmc At Carson Valley |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 71 West Wissachickon Ave., Flourtown, Pennsylvania |
| Authorized Official Name and Position | Dorothy Pritchard (ADMIN/CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2159852595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phmc At Carson Valley 1500 Market St Lm 500 West Tower Attn: D. Pritchard/shs Philadelphia PA 19102-2100 Ph: (215) 985-2595 | Phmc At Carson Valley 71 West Wissachickon Ave. Flourtown PA 19031 Ph: (215) 233-1960 |
| NPI Number | 1922535764 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922535764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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