GREATER PHILADELPHIA HEALTH ACTION INC. NPI 1417902362

NPI Information

GREATER PHILADELPHIA HEALTH ACTION INC. is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. GREATER PHILADELPHIA HEALTH ACTION INC. NPI is 1417902362. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gpha Southeast Health Center.

The provider's business location address is:

800 WASHINGTON AVE
PHILADELPHIA, PA
ZIP 19147-717
Phone: (215) 339-5100
Fax: (215) 454-6814

The provider's authorized official is D Tina Smith .
The authorized official title is Provider Enrollment Spec and has the following contact phone number (215) 925-2400.

The CLIA number assigned to this NPI record is 39D2116989 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/22/2006 and was last updated on 3/16/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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