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GHRS LLC NPI 1699446179


NPI Information

NPI: 1699446179
Provider Name: GHRS LLC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 39D2298041

Address:
3227 KENSINGTON AVE
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 852-5016
Get Directions

GHRS LLC is an addiction medicine internal medicine in Philadelphia, PA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. GHRS LLC NPI is 1699446179. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3227 KENSINGTON AVE
PHILADELPHIA, PA
ZIP 19134-934
Phone: (215) 852-5016

The provider's authorized official is Francis Mccusker .
The authorized official title is Owner and has the following contact phone number (215) 454-6016.

The CLIA number assigned to this NPI record is 39D2298041 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2021 and was last updated on 6/13/2022.


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
1207RA0401XInternal MedicineAddiction MedicineYes

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
11039562800001MEDICAIDPENNSYLVANIA

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: 5/5/2024

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