SAYRE HEALTH CENTER NPI 1831209113

NPI Information

SAYRE HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. SAYRE HEALTH CENTER NPI is 1831209113. The provider is registered as an organization entity type.

The provider's business location address is:

5800 WALNUT STREET REAR
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 474-4444
Fax: (215) 474-6021

The provider's authorized official is Kent Bream .
The authorized official title is Medical Director and has the following contact phone number (215) 474-4411.

The CLIA number assigned to this NPI record is 39D1059431 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/20/2012.

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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