Intercommunity Action, Inc

LBN: Intercommunity Action, Inc
Intercommunity Action, Inc is an health care organization with primary practice located at 1822 W Butler St , Philadelphia PA 19140. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Intercommunity Action, Inc can be contacted via phone (215) 508-6710, or through Bolin, David via phone (215) 487-0906.

Contact Information

Primary practice address
1822 W Butler St Philadelphia PA 19140
Phone: (215) 508-6710
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bolin, David
Phone: (215) 487-0906

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1023153616
LBN Legal business name Intercommunity Action, Inc
DBA Doing business as
Authorized official Bolin, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Mar 6th, 2008 - about 18 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 1023153616 NPPES
Pennsylvania MEDICAID 1000008360093

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