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DR WARREN E SMITH COMMUNITY MENTAL HEALTH MENTAL RETARDATION & SUBSTAN NPI 1528171790


NPI Information

NPI: 1528171790
Provider Name: DR WARREN E SMITH COMMUNITY MENTAL HEALTH MENTAL RETARDATION & SUBSTAN

Doing Business As: DR WARREN E SMITH HEALTH CENTERS WES HEALTH CENTERS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1315 WINDRIM AVENUE
PHILADELPHIA, PA
ZIP 19141
Phone: (215) 456-2611
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DR WARREN E SMITH COMMUNITY MENTAL HEALTH MENTAL RETARDATION & SUBSTAN is a mental health (including community mental health center) clinic center in Philadelphia, PA. DR WARREN E SMITH COMMUNITY MENTAL HEALTH MENTAL RETARDATION & SUBSTAN NPI is 1528171790. The provider is registered as an organization entity type.
The provider Is Doing Business As Dr Warren E Smith Health Centers Wes Health Centers.

The provider's business location address is:

1315 WINDRIM AVENUE
PHILADELPHIA, PA
ZIP 19141-710
Phone: (215) 456-2611
Fax: (215) 456-2729

The provider's authorized official is Kenneth Glass .
The authorized official title is Chief Executive Officer and has the following contact phone number (267) 256-0636.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/22/2020.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)185300PENNSYLVANIAYes

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
11000028031004MEDICAIDPENNSYLVANIA
21000028030022MEDICAIDPENNSYLVANIA
31317149OTHERPENNSYLVANIAMAGELLAN BEHAV HEALTH
41000028030029MEDICAIDPENNSYLVANIA
51000028030045MEDICAIDPENNSYLVANIA
61000028030047MEDICAIDPENNSYLVANIA
73136579OTHERPENNSYLVANIAAETNA US HEALTHCARE
80561531000OTHERPENNSYLVANIAPERSONAL CHOICE
91000028030027MEDICAIDPENNSYLVANIA

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.