Mastery Charter High School

LBN: Mastery Charter High School
Mastery Charter High School is an health care organization with primary practice located at 35 S 4Th St , Philadelphia PA 19106-2703. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Mastery Charter High School can be contacted via phone (215) 922-1902, or through Gordon, Scott via phone (215) 922-1902.

Contact Information

Primary practice address
35 S 4Th St Philadelphia PA 19106-2703
Fax: (215) 922-1903
Website:
Authorized official contact:
Name: Gordon, Scott

Health care specialties

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

Profile Details

NPI number 1548219470
LBN Legal business name Mastery Charter High School
DBA Doing business as
Authorized official Gordon, Scott
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 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 1548219470 NPPES
Pennsylvania MEDICAID 001865406001

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