Jefferson Univ-Mater Family Center

LBN: Thomas Jefferson University
Jefferson Univ-Mater Family Center is an health care organization with primary practice located at 1233 Locust St Suite 201, Philadelphia PA 19107-5453. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Thomas Jefferson University can be contacted via phone (215) 955-1952, or through Calvano, Michelle via phone (215) 955-1952.

Contact Information

Primary practice address
1233 Locust St Suite 201 Philadelphia PA 19107-5453
Fax: (215) 568-6414
Website:
Authorized official contact:
Name: Calvano, Michelle Bachelor of Arts (BA)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Methadone 261QM2800X N8LT6601 Pennsylvania

Profile Details

NPI number 1992824312
LBN Legal business name Thomas Jefferson University
DBA Doing business as Jefferson Univ-Mater Family Center
Authorized official Calvano, Michelle Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated May 23rd, 2024 - about 7 months 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 1992824312 NPPES
Pennsylvania MEDICAID 1007571300103

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