Independence Charter School

LBN: Independence Charter School
Independence Charter School is an health care organization with primary practice located at 105 S 7Th St , Philadelphia PA 19106-3324. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Independence Charter School can be contacted via phone (215) 238-8000, or through Krokys, Jurate via phone (215) 238-8000.

Contact Information

Primary practice address
105 S 7Th St Philadelphia PA 19106-3324
Phone: (215) 238-8000
Fax: (215) 238-1998
Website:
Map and Directions
Authorized official contact:
Name: Krokys, Jurate Master of Education (MED)
Phone: (215) 238-8000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X Pennsylvania

Profile Details

NPI number 1033168026
LBN Legal business name Independence Charter School
DBA Doing business as
Authorized official Krokys, Jurate Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033168026 NPPES
Pennsylvania MEDICAID 0018675360001

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