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CITY OF PHILADELPHIA NPI 1942317094


NPI Information

NPI: 1942317094
Provider Name: CITY OF PHILADELPHIA

Doing Business As: HEALTH CARE CENTER 2

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1700 S BROAD ST APT 201
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 685-1803
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CITY OF PHILADELPHIA is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. CITY OF PHILADELPHIA NPI is 1942317094. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Care Center 2.

The provider's business location address is:

1700 S BROAD ST APT 201
PHILADELPHIA, PA
ZIP 19145-340
Phone: (215) 685-1803
Fax: (215) 685-1815

The provider's authorized official is Christine Gaddy .
The authorized official title is Billing Manager and has the following contact phone number (215) 685-6843.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 11/25/2019.


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)PENNSYLVANIAYes

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
116792MEDICAIDPENNSYLVANIA
21000076950098MEDICAIDPENNSYLVANIA
31002859MEDICAIDPENNSYLVANIA
4G0002730MEDICAIDPENNSYLVANIA

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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