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WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. NPI 1932228426


NPI Information

NPI: 1932228426
Provider Name: WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC.

Doing Business As: THE CONSORTIUM INC.

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5501 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 596-8100
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WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. is a mental health (including community mental health center) clinic center in Philadelphia, PA. WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. NPI is 1932228426. The provider is registered as an organization entity type.
The provider Is Doing Business As The Consortium Inc..

The provider's business location address is:

5501 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19139-205
Phone: (215) 596-8100
Fax: (215) 382-4405

The provider's authorized official is John F. White .
The authorized official title is PRESIDENT CEOCeo and has the following contact phone number (215) 596-8100.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)128610PENNSYLVANIAYes

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
11007155230081MEDICAIDPENNSYLVANIA

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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