Maritime Academy Charter School

LBN: Maritime Academy Charter School
Maritime Academy Charter School is an health care organization with primary practice located at 3020 Market St , Philadelphia PA 19104-2801. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Maritime Academy Charter School can be contacted via phone (215) 387-7066, or through Waiters, Ann G via phone (215) 387-7066.

Contact Information

Primary practice address
3020 Market St Philadelphia PA 19104-2801
Phone: (215) 387-7066
Fax: (215) 387-7021
Website:
Map and Directions
Authorized official contact:
Name: Waiters, Ann G PH.D.
Phone: (215) 387-7066

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X Pennsylvania

Profile Details

NPI number 1881644078
LBN Legal business name Maritime Academy Charter School
DBA Doing business as
Authorized official Waiters, Ann G PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1881644078 NPPES
Pennsylvania MEDICAID 1011317340001

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