| Vaux Big Picture High School | |
|
2300 W Master St Philadelphia PA 19121-4996 | |
| (267) 687-1172 | |
| Not Available |
| Full Name | Vaux Big Picture High School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2300 W Master St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Emily Nichols (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2675973604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaux Big Picture High School 4700 Wissahickon Ave Ste 118 Philadelphia PA 19144-4248 Ph: () - | Vaux Big Picture High School 2300 W Master St Philadelphia PA 19121-4996 Ph: (267) 687-1172 |
| NPI Number | 1124787304 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124787304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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