GREATER PHILADELPHIA HEALTH ACTION INC. NPI 1659325652

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 1659325652. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gpha-frankford Avenue Health Center.

The provider's business location address is:

4510 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19124-602
Phone: (215) 744-1302
Fax: (215) 744-2544

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 39D0200219 - community clinic 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 3/15/2017.

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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