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NPI Code Detail

MEDICARE: PMHC

MEDICARE: PMHC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyPA

General Provider Information

NPI Number : 1548538747
Entity Type Code : Organization
Provider Name (Legal Business Name) : PMHC
Provider Business Mailing Address
First Line : 702 OAK LANE 1ST FL
Second Line :
City : PHILA
State : PA
Zip : 19126
Country : US
Telephone Number : 267-258-7024
Fax Number :
Provider Business Practice Location Address
First Line : 1230 SUMMER ST
Second Line :
City : PHILA
State : PA
Zip : 19107
Country : US
Telephone Number : 215-772-0101
Fax Number :
Authorized Official
Title or Position : TSS WORKER
Name : NYSHEA N PARKER
Credential :
Telephone Number : 267-258-7024
Provider Enumeration Date : 12/02/2011
Last Update Date : 12/02/2011

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Directions to “PMHC ” Practice Location

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