COURAGE MEDICINE HEALTH CENTER INC. NPI 1841845369

NPI Information

NPI: 1841845369
Provider Name: COURAGE MEDICINE HEALTH CENTER INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 39D2244158

Address:
7198 CASTOR AVE STE 200
PHILADELPHIA, PA
ZIP 19149
Phone: (267) 217-3217
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COURAGE MEDICINE HEALTH CENTER INC. is a multi-specialty clinic center in Philadelphia, PA. COURAGE MEDICINE HEALTH CENTER INC. NPI is 1841845369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7198 CASTOR AVE STE 200
PHILADELPHIA, PA
ZIP 19149-105
Phone: (267) 217-3217
Fax: (267) 459-8942

The provider's authorized official is Trisha L Acri .
The authorized official title is Medical Director and has the following contact phone number (267) 217-3217.

The CLIA number assigned to this NPI record is 39D2244158 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2019 and was last updated on 11/16/2022.

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
1	207Q00000X	Family Medicine				No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 4/28/2024

NPI Synchronization or Removal

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