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Organization
GREATER PHILADELPHIA HEALTH ACTION INC.
Active
Organization
GREATER PHILADELPHIA HEALTH ACTION INC.
Active
Other names
GPHA INC. Medical Suite at Temple's Dental School
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. D TINA SMITH (PROVIDER ENROLLMENT SPEC.)
(215) 925-2400
Entity
Organization
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 226-3789
(215) 226-3794
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
04/27/2016
Last updated
03/15/2017
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