The Consortium Inc.

LBN: West Philadelphia Community Mental Health Consortium, Inc.
The Consortium Inc. is an health care organization with primary practice located at 5429 Chestnut St , Philadelphia PA 19139-3300. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. West Philadelphia Community Mental Health Consortium, Inc. can be contacted via phone (215) 596-8100, or through White, John via phone (215) 596-8100.

Contact Information

Primary practice address
5429 Chestnut St Philadelphia PA 19139-3300
Phone: (215) 596-8100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: White, John
Phone: (215) 596-8100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1007155230082 Pennsylvania
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 1007155230082 Pennsylvania

Profile Details

NPI number 1891974929
LBN Legal business name West Philadelphia Community Mental Health Consortium, Inc.
DBA Doing business as The Consortium Inc.
Authorized official White, John
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2007
Last updated Oct 25th, 2007 - about 17 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 1891974929 NPPES
Pennsylvania MEDICAID 100715523 0082

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