# KENSINGTON HOSPITAL- CONGRESO CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962543843
- **Authorized official:** MS. EILEEN HAUSE MBA (CEO)
- **Authorized official phone:** (215) 426-8100

## Contact information

- **Practice address:** 136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
- **Practice address phone:** (215) 426-8100
- **Practice address fax:** (215) 965-2344
- **Mailing address:** 216 W SOMERSET ST, PHILADELPHIA, PA 19133-3534
- **Mailing address phone:** (215) 763-8870
- **Mailing address fax:** (215) 965-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | 111101 | PA | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020