Intercommunity Action, Inc in Philadelphia - Community/behavioral Health

Intercommunity Action, Inc - NPI 1790820405

Intercommunity Action, Inc is a Community/behavioral Health in Philadelphia, Pennsylvania. Intercommunity Action, Inc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Intercommunity Action, Inc is 1790820405. The last update date is 2008-03-06.

Intercommunity Action, Inc's current location address is 1801 W Pike St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155086710. The mailing address for Intercommunity Action, Inc is 1801 W Pike St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Intercommunity Action, Inc
Address 1801 W Pike St, Philadelphia, Pennsylvania
Phone Number 2155086710
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Bolin David
Telephone Number 2154870906

NPI Number Detail

NPI Number 1790820405
Provider Enumeration Date 2007-02-20
Last Updated Date 2008-03-06

Provider Mailing Address Detail

Address 1801 W Pike St
City Philadelphia
State Pennsylvania (PA)
Post Code 191403401
Phone Number 2155086710
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1000008360094 PA --

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FAQs about Intercommunity Action, Inc

What is the unique identifier code issued to Intercommunity Action, Inc by the Centers for Medicare & Medicaid Services?

The Intercommunity Action, Inc has been assigned the NPI (National Provider Identifier) 1790820405. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Intercommunity Action, Inc is located?

The Intercommunity Action, Inc is situated at the following address: 1801 W Pike St, Philadelphia, PA, 191403401.

What is Intercommunity Action, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Intercommunity Action, Inc is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790820405 to Intercommunity Action, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1790820405 to Intercommunity Action, Inc on 2007-02-20.

As of what date was the information regarding Intercommunity Action, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Intercommunity Action, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-06.

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