OrganizationActive
Community Primary Care Center
NPI 1023550977 · Primary Care Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1023550977
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Tucker, Owner(215) 301-1193
- License
- SP011218 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
702 W Girard Ave
Philadelphia, PA 19123-1313
Phone: (215) 301-1193
Approximate (ZIP-level) locationGet directions
Mailing address
702 W Girard Ave
Philadelphia, PA 19123-1313
Registry dates
- Enumerated
- 2016-11-09
- Last updated
- 2016-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.