SPECTRUM HEALTH SERVICES INC. NPI 1265866107

NPI Information

NPI: 1265866107
Provider Name: SPECTRUM HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5201 HAVERFORD AVE
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 472-6095
Get Directions

SPECTRUM HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. SPECTRUM HEALTH SERVICES, INC. NPI is 1265866107. The provider is registered as an organization entity type.

The provider's business location address is:

5201 HAVERFORD AVE
PHILADELPHIA, PA
ZIP 19139-401
Phone: (215) 472-6095

The provider's authorized official is Phyllis Cater .
The authorized official title is President/ceo and has the following contact phone number (215) 472-3240.

The enumeration date for this NPI number is 8/28/2013 and was last updated on 8/28/2013.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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
1	091193	MEDICARE OSCAR/CERTIFICATION	PENNSYLVANIA
2	1007288260005	MEDICAID	PENNSYLVANIA
3	391852	MEDICARE OSCAR/CERTIFICATION

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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