Dedicated Senior Medical Center South Philadelphia

LBN: Dedicated Pennsylvania Holding, Llc
Dedicated Senior Medical Center South Philadelphia is an health care organization with primary practice located at 330 W Oregon Ave # 170 , Philadelphia PA 19148-4723. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Dedicated Pennsylvania Holding, Llc can be contacted via phone (305) 628-6117, or through Houston, Daniella via phone (305) 628-6117.

Contact Information

Primary practice address
330 W Oregon Ave # 170 Philadelphia PA 19148-4723
Phone: (305) 628-6117
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Houston, Daniella
Phone: (305) 628-6117

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1023655602
LBN Legal business name Dedicated Pennsylvania Holding, Llc
DBA Doing business as Dedicated Senior Medical Center South Philadelphia
Authorized official Houston, Daniella
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 3rd, 2019
Last updated Jul 19th, 2024 - about 2 months 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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