Delaware Valley Children'S Center

LBN: Philadelphia Mental Health Clinic
Delaware Valley Children'S Center is an health care organization with primary practice located at 1235 Pine Street , Philadelphia PA 19107-5945. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Philadelphia Mental Health Clinic can be contacted via phone (215) 598-0223, or through Carroll, Jason via phone (215) 735-9379.

Contact Information

Primary practice address
1235 Pine Street Philadelphia PA 19107-5945
Phone: (215) 598-0223
Fax: (215) 598-9020
Website:
Map and Directions
Authorized official contact:
Name: Carroll, Jason
Phone: (215) 735-9379

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 123880 Pennsylvania
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1780746917
LBN Legal business name Philadelphia Mental Health Clinic
DBA Doing business as Delaware Valley Children'S Center
Authorized official Carroll, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Sep 10th, 2015 - about 10 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 1780746917 NPPES
Pennsylvania Other 265050000 MAGELLAN BEHAVIORAL HEALT
Pennsylvania Other 000138598 MAGELLAN BEHAVIORAL HEALT
Pennsylvania MEDICAID 1007279540006 MAGELLAN BEHAVIORAL HEALT
Pennsylvania Other 0056455000 MAGELLAN BEHAVIORAL HEALT

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