UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY NPI 1508986076

NPI Information

NPI: 1508986076
Provider Name: UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
102 E MERMAID LN
PHILADELPHIA, PA
ZIP 19118
Phone: (215) 242-4200
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UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY is a voluntary or charitable in Philadelphia, PA. UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY NPI is 1508986076. The provider is registered as an organization entity type.

The provider's business location address is:

102 E MERMAID LN
PHILADELPHIA, PA
ZIP 19118-507
Phone: (215) 242-4200
Fax: (215) 247-4229

The provider's authorized official is Willis A. Dibble .
The authorized official title is Executive Director and has the following contact phone number (215) 248-7602.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		171040	PENNSYLVANIA	Yes
2	251S00000X	Community/Behavioral Health		139930	PENNSYLVANIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1000015100012	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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