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Contact Information

MASTERY CHARTER SCHOOL-THOMAS CAMPUS
35 S 4TH ST
PHILADELPHIA, PA19106-2703
 Phone: 267-236-0036
 Fax: 267-236-0030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for MASTERY CHARTER SCHOOL-THOMAS CAMPUS

NPI Number 1831258474
LBN Legal business name MASTERY CHARTER SCHOOL-THOMAS CAMPUS
Authorized official SCOTT GORDON - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PA Medicaid 1017462010001
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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