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Organization

ARCHWELL HEALTH PROFESSIONAL SERVICES OF PENNSYLVANIA, PC

Active
Other names
ArchWell Health
Organization subpart
No

Provider details

NPI number
Authorized official
AMY MODDESETTE (SR. DIRECTOR, MANAGED CARE OPS)
(913) 226-8221
Entity
Organization

Contact information

Practice address
6201 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2033
(888) 987-1151
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
363L00000X
Nurse Practitioner

Other

Enumeration date
02/24/2025
Last updated
02/13/2026
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