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Contact Information

INTERCOMMUNITY ACTION, INC
3500 MIDVALE AVE
PHILADELPHIA, PA19129
 Phone: 215-487-1330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for INTERCOMMUNITY ACTION, INC

NPI Number 1285778316
LBN Legal business name INTERCOMMUNITY ACTION, INC
Authorized official DAVID BOLIN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2007
Last updated 03/06/2008 - About 18 years ago
Identifiers
PA Medicaid 1000008360089
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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