Organization
LCH HEALTH AND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONAN GANNON (CEO)
(610) 444-7550
Entity
Organization
Contact information
Practice address
105 VINEYARD WAY STE 200, WEST GROVE, PA 19390-8849
(610) 444-7550
(610) 444-4656
Mailing address
731 W CYPRESS ST, KENNETT SQUARE, PA 19348-2419
(610) 444-7550
(610) 444-4656
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100752680-0011
—
PA
Enumeration date
05/03/2018
Last updated
05/23/2023
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