| Spectrum Health Services, Inc. | |
|
1325 S 33rd St 3rd Floor Philadelphia PA 19146-3303 | |
| (215) 471-2761 | |
| (215) 472-6093 |
| Full Name | Spectrum Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1325 S 33rd St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Phyllis B Cater (PRESIDENT AND CEO) |
| Authorized Official Contact | 2154712761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Services, Inc. 5201 Haverford Ave Philadelphia PA 19139-1401 Ph: (215) 471-2761 | Spectrum Health Services, Inc. 1325 S 33rd St 3rd Floor Philadelphia PA 19146-3303 Ph: (215) 471-2761 |
| NPI Number | 1689045437 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 05/10/2016 |
| Medicare PECOS PAC ID | 0840242467 |
|---|---|
| Medicare Enrollment ID | O20160414001686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689045437 | NPI | - | NPPES |
| 100728826 | Medicaid | PA | |
| 091193 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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