Organization
GREATER PHILADELPHIA HEALTH ACTION, INC
Active
Other names
GPHA 4th Street Medical Suite
Organization subpart
No
Provider details
NPI number
Authorized official
MS. D TINA SMITH (PROVIDER ENROLLMENT SPEC.)
(215) 925-2400
Entity
Organization
Contact information
Practice address
1401 S. 4TH STREET, 4TH FLOOR, PHILADELPHIA, PA 19147-5948
(215) 339-1079
(215) 952-6966
Mailing address
1401 S. 31ST STREET, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
176B00000X
Midwife
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080C0008X
Child Abuse Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
213E00000X
Podiatrist
—
—
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001374480022
—
PA
Enumeration date
05/22/2006
Last updated
03/15/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us