COVENANT HOUSE INC NPI 1821589615

NPI Information

COVENANT HOUSE, INC is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. COVENANT HOUSE, INC NPI is 1821589615. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant House Wellness Clinic.

The provider's business location address is:

2385 W CHELTENHAM AVE.
PHILADELPHIA, PA
ZIP 19150
Phone: (215) 877-7300
Fax: (215) 844-1020

The provider's authorized official is Carolyn Richardson .
The authorized official title is Director, Reimbursement Services and has the following contact phone number (215) 844-1020.

The enumeration date for this NPI number is 5/29/2018 and was last updated on 5/29/2018.

Taxonomy Codes

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Other Identifiers

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