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COVENANT HOUSE INC NPI 1528392008


NPI Information

NPI: 1528392008
Provider Name: COVENANT HOUSE, INC

Doing Business As: MT. PLEASANT MEDICAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
8125 STENTON AVE
PHILADELPHIA, PA
ZIP 19150
Phone: (215) 248-7560
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COVENANT HOUSE, INC is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. COVENANT HOUSE, INC NPI is 1528392008. The provider is registered as an organization entity type.
The provider Is Doing Business As Mt. Pleasant Medical Center.

The provider's business location address is:

8125 STENTON AVE
PHILADELPHIA, PA
ZIP 19150-530
Phone: (215) 248-7560
Fax: (215) 248-7564

The provider's authorized official is Rosetta Smith .
The authorized official title is Chief Executive Officer and has the following contact phone number (215) 248-7560.

The enumeration date for this NPI number is 9/30/2009 and was last updated on 1/12/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)032220PENNSYLVANIAYes

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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