MAINLINE HEALTH ASSOCIATES NPI 1104167022

NPI Information

  • NPI: 1104167022
  • Provider Name: MAINLINE HEALTH ASSOCIATES
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 2 BALA PLZ
    IL-50
    BALA CYNWYD, PA
    ZIP 19004
  • Phone: (610) 667-1115

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NPI Details

MAINLINE HEALTH ASSOCIATES is a clinic center in Bala Cynwyd, 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). MAINLINE HEALTH ASSOCIATES NPI is 1104167022. The provider is registered as an organization entity type.

The provider's business location address is:

2 BALA PLZ
IL-50
BALA CYNWYD, PA
ZIP 19004-501
Phone: (610) 667-1115

The provider's authorized official is Mohammed Kidwai .
The authorized official title is M.d. and has the following contact phone number (610) 667-1115.

The enumeration date for this NPI number is 3/4/2013 and was last updated on 3/4/2013.

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
1261Q00000XClinic/CenterMD 433668PENNSYLVANIAYes
2261QF0050XClinic/CenterFamily Planning, Non-SurgicalMD 433668PENNSYLVANIANo
3261QH0100XClinic/CenterHealth ServiceMD 433668PENNSYLVANIANo
4261QP2300XClinic/CenterPrimary CareMD 433668PENNSYLVANIANo

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: 3/30/2025

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