Organization
SPECTRUM HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PHYLLIS B CATER (PRESIDENT AND CEO)
(215) 471-2761
Entity
Organization
Contact information
Practice address
1325 S 33RD ST, 3RD FLOOR, PHILADELPHIA, PA 19146-3303
(215) 471-2761
(215) 472-6093
Mailing address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2761
(215) 472-6093
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091193
HIGHMARK BLUE SHIELD
PA
05
—
100728826
—
PA
Enumeration date
10/19/2015
Last updated
05/10/2016
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