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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