Pha - Adult Medicine

LBN: Philadelphia Health Associates - Adult Medicine, P.C.
Pha - Adult Medicine is an health care organization with primary practice located at 1740 South Street Suite 300, Philadelphia PA 19146-1514. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Philadelphia Health Associates - Adult Medicine, P.C. can be contacted via phone (215) 732-0876, or through Warren, Wilbert Roy via phone (215) 732-0876.

Contact Information

Primary practice address
1740 South Street Suite 300 Philadelphia PA 19146-1514
Fax: (215) 732-1383
Website:
Authorized official contact:
Name: Warren, Wilbert Roy Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1568420495
LBN Legal business name Philadelphia Health Associates - Adult Medicine, P.C.
DBA Doing business as Pha - Adult Medicine
Authorized official Warren, Wilbert Roy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Jul 21st, 2022 - about 2 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 1568420495 NPPES
Pennsylvania MEDICAID 0018443260005

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