PHILADELPHIA DEPT. OF PUBLIC HEALTH NPI 1821172107

NPI Information

PHILADELPHIA DEPT. OF PUBLIC HEALTH is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. PHILADELPHIA DEPT. OF PUBLIC HEALTH NPI is 1821172107. The provider is registered as an organization entity type.

The provider's business location address is:

1101 MARKET ST FL 12
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 685-6843

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 10/24/2006 and was last updated on 6/11/2019.

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:

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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