PHILADELPHIA VA CLINIC; NPI #1659315380

Contact Information

PHILADELPHIA VA CLINIC

214 NORTH 4TH ST.
2ND FLOOR
PHILADELPHIA, PA 19106

Phone: 215-923-1163
Fax: 215-923-4032
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	VA	261QV0200X

Indicates primary specialty

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NPI Profile & details for PHILADELPHIA VA CLINIC

NPI Number	`1659315380`
LBN Legal business name	PHILADELPHIA VA CLINIC
Authorized official	BARBARA MAYERICK - (DIRECTOR, BUSINESS DEVELOPMENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/15/2006
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

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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