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Federally qualified health center in Phila, PA, Medicare certification number 391055.
Medicare certification
Provider of Services- CCN
- 391055
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Aug 17, 2015
- Last certification
- Aug 17, 2015
- Address
- 5201 Old York Road, Suite 108
Phila, PA 19141
(215) 320-6187
NPI records for this facility (CCN to NPI Mapping) 1
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1790116788
Medicare enrollment
Other federally qualified health centers in Phila, PA
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.