Philadelphia Fight
Doing business as Jonathan Lax Treatment Center
Federally qualified health center in Philadelphia, PA, Medicare certification number 391042.
Medicare certification
Provider of Services- CCN
- 391042
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- May 29, 2014
- Last certification
- May 29, 2014
- Address
- 1233 Locust Street, 4TH and 5TH Floors
Philadelphia, PA 19107
(215) 790-1788
NPI records for this facility (CCN to NPI Mapping) 1
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1487082608
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.