Wedge Medical Center, Pc

LBN: Wedge Medical Center
Wedge Medical Center, Pc is an health care organization with primary practice located at 3600 Germantown Ave , Philadelphia PA 19140-4226. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Wedge Medical Center can be contacted via phone (215) 223-3600, or through Gallman, Takisa via phone (215) 276-3922.

Contact Information

Primary practice address
3600 Germantown Ave Philadelphia PA 19140-4226
Phone: (215) 223-3600
Fax: (215) 223-2100
Website:
Map and Directions
Authorized official contact:
Name: Gallman, Takisa
Phone: (215) 276-3922

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1336792316
LBN Legal business name Wedge Medical Center
DBA Doing business as Wedge Medical Center, Pc
Authorized official Gallman, Takisa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2019
Last updated Jan 12th, 2021 - 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 1336792316 NPPES
Pennsylvania MEDICAID 001680493

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