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Organization

SAYRE HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENT BREAM MD (MEDICAL DIRECTOR)
(215) 474-4411
Entity
Organization

Contact information

Practice address
5800 WALNUT STREET REAR, PHILADELPHIA, PA 19139
(215) 474-4444
(215) 474-6021
Mailing address
5800 WALNUT STREET REAR, PHILADELPHIA, PA 19139-3836
(215) 474-4411
(215) 474-6021

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019704400001
PA
Enumeration date
08/30/2006
Last updated
06/20/2012
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