Kirkbride Center

LBN: Corecare Behavioral Health
Kirkbride Center is an health care organization with primary practice located at 111 N 49Th St , Philadelphia PA 19139-2718. The organization recently has 4 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospital Units / Rehabilitation Unit, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Hospitals / Psychiatric Hospital. Hospital Units / Psychiatric Unit is the primary health care specialty. Corecare Behavioral Health can be contacted via phone (215) 471-2488, or through Diottavio, Rose S via phone (215) 471-2853.

Contact Information

Primary practice address
111 N 49Th St Philadelphia PA 19139-2718
Phone: (215) 471-2488
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Diottavio, Rose S
Phone: (215) 471-2853

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 197910 Pennsylvania
Hospital Units / Rehabilitation Unit 273Y00000X 807208 Pennsylvania
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X 807208 Pennsylvania
Hospitals / Psychiatric Hospital 283Q00000X

Profile Details

NPI number 1851390561
LBN Legal business name Corecare Behavioral Health
DBA Doing business as Kirkbride Center
Authorized official Diottavio, Rose S
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Oct 22nd, 2015 - about 9 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 1851390561 NPPES
Pennsylvania MEDICAID 1007737600004

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