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Fort Freedom, Inc. — NPI 1306722830, Malvern, PA | NPI Central

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Fort Freedom, Inc.

NPI 1306722830 · VA Clinic/Center · Malvern, PA

Provider details

NPI number: 1306722830
Entity type: Organization
Primary specialty: VA Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Jonathan Gervasi, Marketing Director(626) 390-4080

Specialties & taxonomies

VA Clinic/CenterPrimary261QV0200X
Ambulatory Health Care Facilities

Practice location

400 Chesterfield Pkwy

Malvern, PA 19355-7700

Phone: (561) 208-1853

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

Po Box 636

Port Salerno, FL 34992-0636

Other names (DBA / former)

Other name: Jonathan Gervasi

Registry dates

Enumerated: 2025-08-12
Last updated: 2025-08-12
Certified: 2025-08-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.