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NPI Code Detail

MEDICARE: CHESPENN HEALTH SERVICES

MEDICARE: CHESPENN HEALTH SERVICES
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)

General Provider Information

NPI Number : 1750329603
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESPENN HEALTH SERVICES
Provider Business Mailing Address
First Line : 1510 CHESTER PIKE STE 200
Second Line :
City : EDDYSTONE
State : PA
Zip : 19022-1377
Country : US
Telephone Number : 610-485-3800
Fax Number : 610-485-4221
Provider Business Practice Location Address
First Line : 125 E 9TH ST
Second Line :
City : CHESTER
State : PA
Zip : 19013-6019
Country : US
Telephone Number : 610-872-6131
Fax Number : 610-872-5128
Authorized Official
Title or Position : CEO
Name : SUSAN HARRIS MCGOVERN
Credential :
Telephone Number : 610-485-3800
Provider Enumeration Date : 06/03/2006
Last Update Date : 06/09/2026

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Directions to “CHESPENN HEALTH SERVICES ” Practice Location

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