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Contact Information

CLARKE PENNSYLVANIA, INC.
5414 OVERBROOK AVE
PHILADELPHIA, PA19131
 Phone: 267-930-5094
 Fax: 215-844-5401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for CLARKE PENNSYLVANIA, INC.

NPI Number 1609098201
LBN Legal business name CLARKE PENNSYLVANIA, INC.
Authorized official ANNE MALARICK - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 11/24/2025 - About 6 months ago
Identifiers
PA License # 325230001
PA License # 326510169
PA Medicaid 1019929940002
PA Medicaid 1019929940003
PA Medicaid 1019929940004
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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