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 2009 S Broad St , Philadelphia PA 19148-2217. 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) 271-2200, or through Gallman, Takisa S via phone (215) 276-3922.

Contact Information

Primary practice address
2009 S Broad St Philadelphia PA 19148-2217
Phone: (215) 271-2200
Fax: (215) 271-2333
Website:
Map and Directions
Authorized official contact:
Name: Gallman, Takisa S
Phone: (215) 276-3922

Health care specialties

SpecialtyCodeLicense #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 1730306291
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 4 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 1730306291 NPPES
Pennsylvania MEDICAID 1007281920007
Pennsylvania MEDICAID 1007281920010

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