Chca Adolescent Medicine

LBN: Childrens Health Care Associates, Inc
Chca Adolescent Medicine is an health care organization with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104-4319. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Childrens Health Care Associates, Inc can be contacted via phone (215) 590-1000, or through Santa, Mixza via phone (267) 425-9233.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia Philadelphia PA 19104-4319
Fax: (267) 425-9200
Website:
Authorized official contact:
Name: Santa, Mixza

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1689769705
LBN Legal business name Childrens Health Care Associates, Inc
DBA Doing business as Chca Adolescent Medicine
Authorized official Santa, Mixza
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 21st, 2014 - about 10 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 1689769705 NPPES
Delaware MEDICAID 0000188502
Delaware MEDICAID 01156798
Delaware MEDICAID 3316602
Delaware MEDICAID 0006558520003

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