MEDICARE: SAFE MEADOW MEDICAL CENTER

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
1	261QM0850X	Adult Mental Health Clinic/Center	MD034392E	PA
2	251S00000X	Community/Behavioral Health Agency	MD034392E	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1467613885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE MEADOW MEDICAL CENTER

Provider Business Mailing Address
First Line	:	7042 ELMWOOD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19142-1722
Country	:	US
Telephone Number	:	215-937-0700
Fax Number	:	512-937-0164

Provider Business Practice Location Address
First Line	:	7042 ELMWOOD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19142-1722
Country	:	US
Telephone Number	:	215-937-0700
Fax Number	:	512-937-0164

Authorized Official
Title or Position	:	CEO
Name	:	DR. BIYI KAYODE OYEFULE
Credential	:	MD
Telephone Number	:	215-937-0700

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	06/18/2008

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Directions to “SAFE MEADOW MEDICAL CENTER ” Practice Location

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