The Wedge Medical Center, P.C.
LBN: The Wedge Medical Center, P.C.
The Wedge Medical Center, P.C. is an health care organization with primary practice located at 3609 N Broad St , Philadelphia PA 19140-4107. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty.
The Wedge Medical Center, P.C. can be contacted via phone (215) 223-1100, or through Gallman, Takisa S via phone (215) 276-3922.
Contact Information
Primary practice address
3609 N Broad St
Philadelphia PA 19140-4107
Phone: (215) 223-1100
Fax: (215) 223-1200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 807376 | Pennsylvania |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 807376 | Pennsylvania |
Profile Details
| NPI number | 1053538447 |
|---|---|
| LBN Legal business name | The Wedge Medical Center, P.C. |
| DBA Doing business as | |
| Authorized official | Gallman, Takisa S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053538447 | NPPES |
| Pennsylvania | MEDICAID | 1007281920005 | |
| Pennsylvania | MEDICAID | 1007281920009 |
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