Tabor Kids Pediatric Mini Clinic

LBN: Covenant House Inc
Tabor Kids Pediatric Mini Clinic is an health care organization with primary practice located at 57 E Armat St , Philadelphia PA 19144-2201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Covenant House Inc can be contacted via phone (215) 844-1020, or through Stukes, Susan Denise via phone (215) 844-1020.

Contact Information

Primary practice address
57 E Armat St Philadelphia PA 19144-2201
Phone: (215) 844-1020
Fax: (215) 844-2702
Website:
Map and Directions
Authorized official contact:
Name: Stukes, Susan Denise
Phone: (215) 844-1020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1669177911
LBN Legal business name Covenant House Inc
DBA Doing business as Tabor Kids Pediatric Mini Clinic
Authorized official Stukes, Susan Denise
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 4th, 2023
Last updated Sep 20th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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