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WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. NPI 1134249535


NPI Information

NPI: 1134249535
Provider Name: WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC.

Doing Business As: THE CONSORTIUM INC.

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

Specialization: Adult Mental Health

Address:
451 S UNIVERSITY AVE
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 596-8100
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WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. 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. WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. NPI is 1134249535. The provider is registered as an organization entity type.
The provider Is Doing Business As The Consortium Inc..

The provider's business location address is:

451 S UNIVERSITY AVE
PHILADELPHIA, PA
ZIP 19104-544
Phone: (215) 596-8100
Fax: (215) 382-4405

The provider's authorized official is John F. White .
The authorized official title is PRESIDENT CEOCeo and has the following contact phone number (213) 596-8100.

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health1007155230051PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007155230051MEDICAIDPENNSYLVANIA

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

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