COVENANT HOUSE INC NPI 1659462679

NPI Information

NPI: 1659462679
Provider Name: COVENANT HOUSE INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
251 EAST BRINGHURST STREET
PHILADELPHIA, PA
ZIP 19144
Phone: (215) 844-1020
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COVENANT HOUSE INC is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. COVENANT HOUSE INC NPI is 1659462679. The provider is registered as an organization entity type.

The provider's business location address is:

251 EAST BRINGHURST STREET
PHILADELPHIA, PA
ZIP 19144
Phone: (215) 844-1020
Fax: (215) 844-2702

The provider's authorized official is Rosetta L Smith .
The authorized official title is Chief Executive Officer and has the following contact phone number (215) 844-1020.

The enumeration date for this NPI number is 9/27/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	032220	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00652	OTHER		HEALTH PARTNERS
2	1026476	OTHER		KEYSTONE MERCY HEALTH PLA
3	113978	MEDICARE PIN	PENNSYLVANIA
4	0073796701	OTHER		AMERI CHOICE
5	1007564460003	MEDICAID	PENNSYLVANIA

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

NPI Synchronization or Removal

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