Intercommunity Action, Inc.

LBN: Intercommunity Action, Inc.
Intercommunity Action, Inc. is an health care organization with primary practice located at 6122 Ridge Ave , Philadelphia PA 19128-1603. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Intercommunity Action, Inc. can be contacted via phone (215) 487-0906, or through Bolin, David via phone (215) 487-0906.

Contact Information

Primary practice address
6122 Ridge Ave Philadelphia PA 19128-1603
Phone: (215) 487-0906
Fax: (215) 487-3716
Website:
Map and Directions
Authorized official contact:
Name: Bolin, David
Phone: (215) 487-0906

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1932234416
LBN Legal business name Intercommunity Action, Inc.
DBA Doing business as
Authorized official Bolin, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Mar 4th, 2009 - about 15 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 1932234416 NPPES
Pennsylvania MEDICAID 1000008360046

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