COVENANT HOUSE INC NPI 1699190561

NPI Information

NPI: 1699190561
Provider Name: COVENANT HOUSE INC

Doing Business As: COVENANT HOUSE HEALTH AND DENTAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
8127 STENTON AVE
PHILADELPHIA, PA
ZIP 19150
Phone: (267) 331-9832
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COVENANT HOUSE INC is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. COVENANT HOUSE INC NPI is 1699190561. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant House Health And Dental.

The provider's business location address is:

8127 STENTON AVE
PHILADELPHIA, PA
ZIP 19150-530
Phone: (267) 331-9832
Fax: (267) 331-9932

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

The enumeration date for this NPI number is 2/28/2014 and was last updated on 12/11/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		PENNSYLVANIA	Yes

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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