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NPI Code Detail

MEDICARE: FAMILY PRACTICE & COUNSELING SERVICES NETWORK

MEDICARE: FAMILY PRACTICE & COUNSELING SERVICES NETWORK
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
1261QC1500XCommunity Health Clinic/Center
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1043204811
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY PRACTICE & COUNSELING SERVICES NETWORK
Provider Business Mailing Address
First Line : 4700 WISSAHICKON AVE
Second Line : BOX 110, SUITE 118, BLDG. D
City : PHILADELPHIA
State : PA
Zip : 19144-4248
Country : US
Telephone Number : 267-597-3600
Fax Number : 267-597-3622
Provider Business Practice Location Address
First Line : 4700 WISSAHICKON AVE
Second Line : BOX 110, SUITE 119, BLDG. D
City : PHILADELPHIA
State : PA
Zip : 19144-4248
Country : US
Telephone Number : 215-843-9720
Fax Number : 215-843-7313
Authorized Official
Title or Position : CEO
Name : EMILY NICHOLS
Credential :
Telephone Number : 267-597-3604
Provider Enumeration Date : 09/07/2005
Last Update Date : 07/01/2025

Similar Medicare Providers

1134497811 — LESLIE BURTON CRNP
Practice Location Address:
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1831191766 — DONNA L. TORRISI C.R.N.P.
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1427025188 — MS. SUSAN MARIE SCHRAND MSN, CRNP
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1265452197 — SQA PHARMACY SERVICES LLC
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1386779957 — DREXEL UNIVERSITY
Practice Location Address:
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Practice Fax: 215-831-2603

Directions to “FAMILY PRACTICE & COUNSELING SERVICES NETWORK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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