WMC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WMC

Practice address

6701 N Broad St
Philadelphia, PA 19126-2837

Phone

(215) 276-3922

Fax

(215) 924-4485

NPI assigned

May 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Takisa S Gallman

Title

VP Administrative Services

Phone

(215) 276-3922

Specialties & licenses 1

Addresses

Other names 1

• The Wedge Medical Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1063464055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262841",
            "telephone_number": "215-276-3922",
            "fax_number": "215-276-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262837",
            "telephone_number": "215-276-3922",
            "fax_number": "215-924-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "GALLMAN",
        "authorized_official_first_name": "TAKISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "215-276-3922"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wedge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Wedge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• WLB Property
• Kai Gerald Wleh
• Robert Wlodarczyk, M.A.
• Colleen Haas Wlostowski, CRNA
• WM Operating, LLC
• WMC
• WMC
• WMC
• WMC
• WMC

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.