OrganizationActive
Transition Phase III
NPI 1306090592 · Health Maintenance Organization · Philadelphia, PA
Provider details
- NPI number
- 1306090592
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jo Benoit, Ceo(215) 878-2052
Specialties & taxonomies
Managed Care Organizations
Practice location
3900 City Ave
Madison Building, Suite 1207
Philadelphia, PA 19131-2908
Phone: (215) 878-3052
Approximate (ZIP-level) locationGet directions
Mailing address
3900 City Ave
Philadelphia, PA 19131-2908
Registry dates
- Enumerated
- 2008-11-14
- Last updated
- 2008-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.