Intercommunity Action, Inc.

LBN: Intercommunity Action, Inc.
Intercommunity Action, Inc. is an health care organization with primary practice located at 2405 N 54Th St , Philadelphia PA 19131-2423. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Intercommunity Action, Inc. can be contacted via phone (215) 477-6661, or through Bolin, David via phone (215) 487-0906.

Contact Information

Primary practice address
2405 N 54Th St Philadelphia PA 19131-2423
Phone: (215) 477-6661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bolin, David
Phone: (215) 487-0906

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1407075245
LBN Legal business name Intercommunity Action, Inc.
DBA Doing business as
Authorized official Bolin, David
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1407075245 NPPES
Pennsylvania MEDICAID 1000008360047

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