Organization
PUBLIC HEALTH MANAGEMENT CORPORATION
Active
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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