Organization
PUBLIC HEALTH MANAGEMENT CORP
Active
Other names
Philadelphia Health Management Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK KILLIAN (DIRECTOR-OPERATIONS)
(215) 985-2514
Entity
Organization
Contact information
Practice address
500 ADAMS AVENUE, PHILADELPHIA, PA 19120-2102
(215) 279-6666
(215) 279-9674
Mailing address
260 S BROAD ST FL 18, PHILADELPHIA, PA 19102-5000
(215) 985-2514
(267) 765-2325
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001599865
PA HIGHMARK BLUE SHIELD
PA
01
—
2287757001
INDEPENDENCE BLUE CROSS
PA
01
—
30010912
KEYSTONE MERCY
PA
01
—
33926
HEALTH PARTNERS OF PA
PA
01
—
85942
AETNA
PA
01
—
G001140710
AMERICHOICE OF PA
PA
Enumeration date
07/28/2006
Last updated
04/11/2012
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