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CITY OF PHILADELPHIA NPI 1740397769


NPI Information

NPI: 1740397769
Provider Name: CITY OF PHILADELPHIA

Doing Business As: HEALTH CARE CENTER 3

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
555 S 43RD ST
HEALTH CARE CENTER 3
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 685-7522
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CITY OF PHILADELPHIA is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. CITY OF PHILADELPHIA NPI is 1740397769. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Care Center 3.

The provider's business location address is:

555 S 43RD ST
HEALTH CARE CENTER 3
PHILADELPHIA, PA
ZIP 19104-408
Phone: (215) 685-7522
Fax: (215) 685-6848

The provider's authorized official is Christine Gaddy .
The authorized official title is Billing Manager and has the following contact phone number (215) 685-6843.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 12/3/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G0004744MEDICAIDPENNSYLVANIA
266692OTHERPENNSYLVANIAHIGH MARK BLUE SHIELD
31000076950009MEDICAIDPENNSYLVANIA
4100083MEDICAIDPENNSYLVANIA
566692OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD

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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