MEDICARE: COMHAR INC

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	251S00000X	Community/Behavioral Health Agency	104560	PA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	600001921	OTHER	PA	MAGELLAN 19133 3849
3	600001922	OTHER	PA	MAGELLAN 19149 1229
4	600001925	OTHER	PA	MAGELLAN 19121 2217
5	600001928	OTHER	PA	MAGELLAN 19144 2153
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	600001917	OTHER	PA	MAGELLAN 19134 3832
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	600001919	OTHER	PA	MAGELLAN 19107 1913
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	600001923	OTHER	PA	MAGELLAN 19104 1361

NPI Number	:	1144343724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMHAR INC

Provider Business Mailing Address
First Line	:	100 W LEHIGH AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-4039
Country	:	US
Telephone Number	:	215-203-3037
Fax Number	:	215-203-3078

Provider Business Practice Location Address
First Line	:	2055 E ALLEGHENY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-3832
Country	:	US
Telephone Number	:	215-203-3037
Fax Number	:	215-203-3078

Authorized Official
Title or Position	:	INTERIM CHIEF EXECUTIVE OFFICER
Name	:	TRAPETA B MAYSON
Credential	:
Telephone Number	:	267-541-9204

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	11/25/2024

2075 E ALLEGHENY AVE
PHILADELPHIA, PA
19134-3832

Practice Phone: 215-425-3700
Practice Fax: