OrganizationActive
City of Philadelphia
NPI 1144337189 · Federally Qualified Health Center (FQHC) · Philadelphia, PA
Provider details
- NPI number
- 1144337189
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Christine Gaddy, Billing Manager
Practice location
4400 Haverford Ave
Philadelphia, PA 19104-1361
Phone: (215) 685-7628
Fax: (215) 685-6848
Mailing address
1101 Market St Fl 10
Philadelphia, PA 19107-2911
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2019-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.