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PUBLIC HEALTH MANAGEMENT CORPORATION NPI 1467776989


NPI Information

NPI: 1467776989
Provider Name: PUBLIC HEALTH MANAGEMENT CORPORATION

Other Name: CARE CLINIC HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1200 CALLOWHILL ST
SUITE 101
PHILADELPHIA, PA
ZIP 19123
Phone: (215) 825-8220
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PUBLIC HEALTH MANAGEMENT CORPORATION is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. PUBLIC HEALTH MANAGEMENT CORPORATION NPI is 1467776989. The provider is registered as an organization entity type.
The provider Other Name Is Care Clinic Health Center.

The provider's business location address is:

1200 CALLOWHILL ST
SUITE 101
PHILADELPHIA, PA
ZIP 19123-658
Phone: (215) 825-8220
Fax: (215) 825-8254

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

The enumeration date for this NPI number is 3/26/2010 and was last updated on 12/11/2020.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)PENNSYLVANIAYes

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
11000016640054MEDICAIDPENNSYLVANIA

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.