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NPI Code Detail

MEDICARE: QUALITY COMMUNITY HEALTH CARE, INC.

MEDICARE: QUALITY COMMUNITY HEALTH CARE, INC.
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
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861490583
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY COMMUNITY HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 2501 W LEHIGH AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19132-3207
Country : US
Telephone Number : 215-227-0300
Fax Number : 215-227-0302
Provider Business Practice Location Address
First Line : 2501 W LEHIGH AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19132-3207
Country : US
Telephone Number : 215-227-0300
Fax Number : 215-227-0302
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. MARCELLA L LINGHAM
Credential : ED.D.
Telephone Number : 215-227-0300
Provider Enumeration Date : 07/07/2005
Last Update Date : 05/31/2019

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Directions to “QUALITY COMMUNITY HEALTH CARE, INC. ” Practice Location

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