Organization
PUBLIC HEALTH MANAGEMENT CORP
Active
Organization
PUBLIC HEALTH MANAGEMENT CORP
Active
Other names
Philadelphia Health Management Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK KILLIAN (DIRECTOR - OPERATIONS)
(215) 985-2514
Entity
Organization
Contact information
Practice address
1035 W BERKS ST, PHILADELPHIA, PA 19122-1909
(215) 765-6690
(215) 765-6694
Mailing address
260 S BROAD ST FL 18, PHILADELPHIA, PA 19102-5000
(215) 765-6690
(215) 765-6694
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000016640039
—
PA
Enumeration date
09/20/2006
Last updated
04/11/2012
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