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PUBLIC HEALTH MANAGEMENT CORP NPI 1295873461


NPI Information

NPI: 1295873461
Provider Name: PUBLIC HEALTH MANAGEMENT CORP

Doing Business As: PHILADELPHIA HEALTH MANAGEMENT CORPORATION

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
260 S BROAD ST
18TH FLOOR
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 985-2514
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PUBLIC HEALTH MANAGEMENT CORP is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. PUBLIC HEALTH MANAGEMENT CORP NPI is 1295873461. The provider is registered as an organization entity type.
The provider Is Doing Business As Philadelphia Health Management Corporation.

The provider's business location address is:

260 S BROAD ST
18TH FLOOR
PHILADELPHIA, PA
ZIP 19102-021
Phone: (215) 985-2514
Fax: (267) 765-2325

The provider's authorized official is Frank Killian .
The authorized official title is Director-operations and has the following contact phone number (215) 985-2514.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 6/7/2011.


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/CenterNo
2261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1391989MEDICARE UPINPENNSYLVANIA
2040886MEDICARE PINPENNSYLVANIA
31000016640038MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIACARE CLINIC

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.