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PUBLIC HEALTH MANGEMENT CORPORATION NPI 1912943457


NPI Information

NPI: 1912943457
Provider Name: PUBLIC HEALTH MANGEMENT CORPORATION

Other Name: MARY HOWARD HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 39D0927440

Address:
125 S 9TH ST
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 592-4500
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PUBLIC HEALTH MANGEMENT CORPORATION is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. PUBLIC HEALTH MANGEMENT CORPORATION NPI is 1912943457. The provider is registered as an organization entity type.
The provider Other Name Is Mary Howard Health Center.

The provider's business location address is:

125 S 9TH ST
PHILADELPHIA, PA
ZIP 19107-125
Phone: (215) 592-4500
Fax: (215) 592-4326

The provider's authorized official is Frank Killian .
The authorized official title is Director - Operations and has the following contact phone number (215) 985-2514.

The CLIA number assigned to this NPI record is 39D0927440 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/22/2006 and was last updated on 12/11/2020.


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)Yes

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
11000016640030MEDICAIDPENNSYLVANIA

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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