Organization
ESPERANZA HEALTH CENTER, INC.
Active
Organization
ESPERANZA HEALTH CENTER, INC.
Active
Parent organization
ESPERANZA HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESPERANZA HEALTH CENTER, INC.
Authorized official
GLENNA J DEEM (EXECUTIVE ASSISTANT)
(215) 302-3150
Entity
Organization
Contact information
Practice address
861 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 831-1100
(215) 831-0500
Mailing address
4417 N. 6TH ST., PHILADELPHIA, PA 19140-2319
(215) 302-3600
(215) 805-8591
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007734560008
—
PA
05
—
1007734560010
—
PA
Enumeration date
05/11/2006
Last updated
08/27/2019
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