Organization
ESPERANZA HEALTH CENTER INC
Active
Parent organization
ESPERANZA HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESPERANZA HEALTH CENTER
Authorized official
MRS. GLENNA J DEEM (CREDENTIALING MANAGER)
(215) 302-3600
Entity
Organization
Contact information
Practice address
4417 N. 6TH ST., PHILADELPHIA, PA 19140-2319
(215) 302-3600
(215) 329-2369
Mailing address
4417 N. 6TH ST., PHILADELPHIA, PA 19140-2319
(215) 302-3600
(215) 807-8395
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007734560009
—
PA
01
—
153891
MEDICARE PART B PTAN
—
Enumeration date
08/03/2011
Last updated
03/29/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us