Organization
SAYRE HEALTH CENTER
Active
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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