Intercommunity Action, Inc

LBN: Intercommunity Action, Inc
Intercommunity Action, Inc is an health care organization with primary practice located at 1526 Fairmount Ave , Phila PA 19130-2910. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Intercommunity Action, Inc can be contacted via phone (215) 487-1330, or through Bolin, David via phone (215) 487-0906.

Contact Information

Primary practice address
1526 Fairmount Ave Phila PA 19130-2910
Phone: (215) 487-1330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bolin, David
Phone: (215) 487-0906

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1285778399
LBN Legal business name Intercommunity Action, Inc
DBA Doing business as
Authorized official Bolin, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Mar 7th, 2008 - 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 1285778399 NPPES
Pennsylvania MEDICAID 1000008360085

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