INTEGRATED COMMUNITY HEALTH NETWORK LLC NPI 1114895646

NPI Information

NPI: 1114895646
Provider Name: INTEGRATED COMMUNITY HEALTH NETWORK, LLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 6523 ELMWOOD AVE
PHILADELPHIA, PA
ZIP 19142
Phone: (215) 360-3700

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NPI Details

INTEGRATED COMMUNITY HEALTH NETWORK, LLC is a mental health (including community mental health center) clinic center in Philadelphia, PA. INTEGRATED COMMUNITY HEALTH NETWORK, LLC NPI is 1114895646. The provider is registered as an organization entity type.

The provider's business location address is:

6523 ELMWOOD AVE
PHILADELPHIA, PA
ZIP 19142-816
Phone: (215) 360-3700
Fax: (215) 883-4476

The provider's authorized official is Joseph M. Marrone .
The authorized official title is Ceo and has the following contact phone number (215) 732-6700.

The enumeration date for this NPI number is 10/27/2025 and was last updated on 10/27/2025.

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			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	104514345-0001	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: 11/21/2025

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