The Consotium Inc.

LBN: West Philadelphia Community Mental Health Consortium
The Consotium Inc. is an health care organization with primary practice located at 111 N 49Th St Early Intervention Program, Philadelphia PA 19139-2718. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. West Philadelphia Community Mental Health Consortium can be contacted via phone (215) 596-8100, or through White, John F via phone (215) 596-8100.

Contact Information

Primary practice address
111 N 49Th St Early Intervention Program Philadelphia PA 19139-2718
Phone: (215) 596-8100
Fax: (215) 382-4405
Website:
Map and Directions
Authorized official contact:
Name: White, John F
Phone: (215) 596-8100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1891014783
LBN Legal business name West Philadelphia Community Mental Health Consortium
DBA Doing business as The Consotium Inc.
Authorized official White, John F
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2010
Last updated May 18th, 2010 - about 16 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 1891014783 NPPES
Pennsylvania MEDICAID 1007155230001

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