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CITY OF PHILADELPHIA NPI 1518074566


NPI Information

NPI: 1518074566
Provider Name: CITY OF PHILADELPHIA

Doing Business As: HEALTH CARE CENTER 5

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1900 N 20TH ST
HEALTH CARE CENTER 5
PHILADELPHIA, PA
ZIP 19121
Phone: (215) 685-2973
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CITY OF PHILADELPHIA is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. CITY OF PHILADELPHIA NPI is 1518074566. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Care Center 5.

The provider's business location address is:

1900 N 20TH ST
HEALTH CARE CENTER 5
PHILADELPHIA, PA
ZIP 19121-217
Phone: (215) 685-2973
Fax: (215) 685-6848

The provider's authorized official is Christine Gaddy .
The authorized official title is Billing Manager and has the following contact phone number (215) 685-6843.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 12/3/2019.


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
1100085MEDICAIDPENNSYLVANIA
21000076950011MEDICAIDPENNSYLVANIA
303074MEDICAIDPENNSYLVANIA
466692OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
5G0001585MEDICAIDPENNSYLVANIA

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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