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Organization

CITY OF PHILADELPHIA

Active
Other names
Health Center 2
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANET LYNN STEVENSON BS, MBA (REGIONAL MANAGER/FINANCIAL SERVICES)
(215) 685-6792
Entity
Organization

Contact information

Practice address
1930 S BROAD ST, UNIT 14, 5TH FLOOR, PHILADELPHIA, PA 19145-2328
(215) 685-1803
(215) 685-6700
Mailing address
500 S BROAD ST, 2ND FLOOR, PHILADELPHIA, PA 19146-1613
(215) 685-6843
(215) 685-6700

Taxonomy

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

Other

Enumeration date
02/07/2014
Last updated
02/07/2014
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