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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