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REDICLINIC OF PA LLC NPI 1063891075


NPI Information

NPI: 1063891075
Provider Name: REDICLINIC OF PA, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2000 HAMILTON ST
PHILADELPHIA, PA
ZIP 19130
Phone: (215) 567-2017
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REDICLINIC OF PA, LLC is a clinic center in Philadelphia, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REDICLINIC OF PA, LLC NPI is 1063891075. The provider is registered as an organization entity type.

The provider's business location address is:

2000 HAMILTON ST
PHILADELPHIA, PA
ZIP 19130-814
Phone: (215) 567-2017
Fax: (215) 563-0418

The provider's authorized official is Danielle Barrera .
The authorized official title is Chief Operating Officer and has the following contact phone number (713) 580-9489.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 5/22/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.