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NPI Code Detail

MEDICARE: CITY OF PHILADELPHIA

MEDICARE: CITY OF PHILADELPHIA
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
1314000000XSkilled Nursing Facility163902PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831258045
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF PHILADELPHIA
Provider Business Mailing Address
First Line : 2100 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-1400
Country : US
Telephone Number : 215-685-0800
Fax Number : 215-685-0975
Provider Business Practice Location Address
First Line : 2100 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-1400
Country : US
Telephone Number : 215-685-0800
Fax Number : 215-685-0975
Authorized Official
Title or Position : ASSOCIATE ADMINISTRATOR, FINANCE
Name : JAMES SCANNAPIECO
Credential :
Telephone Number : 215-685-0800
Provider Enumeration Date : 12/06/2006
Last Update Date : 01/12/2009

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Directions to “CITY OF PHILADELPHIA ” Practice Location

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