Penncare-J. Edwin Wood Clinic

LBN: Penncare-J. Edwin Wood Clinic
Penncare-J. Edwin Wood Clinic is an health care organization with primary practice located at 700 Spruce St 304, Philadelphia PA 19106-4022. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Penncare-J. Edwin Wood Clinic can be contacted via phone (215) 829-3532, or through Heine, Kenny via phone (858) 625-2990.

Contact Information

Primary practice address
700 Spruce St 304 Philadelphia PA 19106-4022
Phone: (215) 829-3532
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 625-2990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X OS012672 Pennsylvania

Profile Details

NPI number 1104967918
LBN Legal business name Penncare-J. Edwin Wood Clinic
DBA Doing business as
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 12th, 2007
Last updated Dec 4th, 2012 - about 14 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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