Organization
PUBLIC HEALTH MANAGEMENT CORPORATION
Active
Other names
PHMC at Interim House West
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY PRITCHARD (ADMIN./CREDENTIALING COORDINATOR)
(215) 985-2595
Entity
Organization
Contact information
Practice address
4108 PARKSIDE AVE, PHILADELPHIA, PA 19104-1020
(215) 871-0300
Mailing address
1500 MARKET ST, LM 500 WEST TOWER ATTN: D. PRITCHARD/SHS, PHILADELPHIA, PA 19102-2100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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