Covenant House Inc in Philadelphia - Federally Qualified Health Center (fqhc)
Covenant House Inc - NPI 1659462679
Covenant House Inc is a Federally Qualified Health Center (fqhc) in Philadelphia, Pennsylvania. Covenant House Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Covenant House Inc is 1659462679. The last update date is 2023-09-20.
Covenant House Inc's current location address is 251 East Bringhurst Street, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158441020 and fax number 2158442702. The mailing address for Covenant House Inc is 251 East Bringhurst Street, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant House Inc |
|---|---|
| Address | 251 East Bringhurst Street, Philadelphia, Pennsylvania |
| Phone Number | 2158441020 |
| Fax Number | 2158442702 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Stukes Denise Susan |
| Telephone Number | 2158441020 |
NPI Number Detail
| NPI Number | 1659462679 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2023-09-20 |
Provider Mailing Address Detail
| Address | 251 East Bringhurst Street |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 19144 |
| Phone Number | 2158441020 |
| Fax Number | 2158442702 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 32220 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1026476 | KEYSTONE MERCY HEALTH PLA | ||
| 1007564460003 | PA | -- | |
| 73796701 | AMERI CHOICE | ||
| 652 | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Covenant House Inc by the Centers for Medicare & Medicaid Services?
The Covenant House Inc has been issued the NPI (National Provider Identifier) 1659462679 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Covenant House Inc's facilities are geographically located?
The facilities of Covenant House Inc are physically situated at the following location: 251 East Bringhurst Street, Philadelphia, PA, 19144.
What is Covenant House Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Covenant House Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659462679 to Covenant House Inc?
The Centers for Medicare & Medicaid Services assigned the 1659462679 to Covenant House Inc on 2006-09-27.
When was the information regarding Covenant House Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Covenant House Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-09-20.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA