NPIMap

Organization Active NPI

Intercommunity Action, Inc.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1700209095
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTERCOMMUNITY ACTION, INC.
Practice address
67 E Bringhurst St
John Wister Elementary School
Philadelphia, PA 19144-2338
Phone
(215) 951-4003
NPI assigned
Jan 23, 2014
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Mr. David Bolin
Title
Ceo/President
Phone
(215) 487-0906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

67 E Bringhurst St
John Wister Elementary School
Philadelphia, PA 19144-2338

Mailing address

6012 Ridge Ave
Philadelphia, PA 19128-1643
Phone (215) 487-0906

National Provider Directory

National Provider Directory
Tax ID family
Intercommunity Action Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

67 E Bringhurst St
Philadelphia, PA 19144
Phone (215) 951-4003

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1700209095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281643",
            "telephone_number": "215-487-0906",
            "fax_number": "215-487-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E BRINGHURST ST",
            "address_2": "JOHN WISTER ELEMENTARY SCHOOL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442338",
            "telephone_number": "215-951-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCOMMUNITY ACTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "215-487-0906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.