Organization
CITY OF PHILADELPHIA
Active
Other names
Health Care Center 5
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE GADDY (BILLING MANAGER)
(215) 685-6843
Entity
Organization
Contact information
Practice address
1900 N 20TH ST, HEALTH CARE CENTER 5, PHILADELPHIA, PA 19121-2217
(215) 685-2973
(215) 685-6848
Mailing address
1101 MARKET ST FL 10, REVENUE MANAGEMENT, PHILADELPHIA, PA 19107-2911
(215) 685-5306
(215) 685-6848
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03074
—
PA
05
—
1000076950011
—
PA
05
—
100085
—
PA
01
—
66692
HIGHMARK BLUE SHIELD
PA
05
—
G0001585
—
PA
Enumeration date
08/24/2006
Last updated
12/03/2019
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