PHILADELPHIA HEALTH MANAGEMENT CORP NPI 1053466086

NPI Information

NPI: 1053466086
Provider Name: PHILADELPHIA HEALTH MANAGEMENT CORP

Other Name: WEST HAVEN

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
111 N 49TH ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 662-8881
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PHILADELPHIA HEALTH MANAGEMENT CORP is an adult mental health clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PHILADELPHIA HEALTH MANAGEMENT CORP NPI is 1053466086. The provider is registered as an organization entity type.
The provider Other Name Is West Haven.

The provider's business location address is:

111 N 49TH ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19139-718
Phone: (215) 662-8881
Fax: (215) 662-8887

The provider's authorized official is Richard J Cohen .
The authorized official title is President and has the following contact phone number (215) 985-2501.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 10/1/2010.

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	261QM0850X	Clinic/Center	Adult Mental Health	122660	PENNSYLVANIA	Yes

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	1000016640041	MEDICARE ID-TYPE UNSPECIFIED

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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