The Consortium Inc

LBN: West Philadelphia Community Mental Health Consortium, Inc
The Consortium Inc is an health care organization with primary practice located at 325 N 39Th St , Philadelphia PA 19104-4656. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. West Philadelphia Community Mental Health Consortium, Inc can be contacted via phone (215) 382-7522, or through White, John F via phone (215) 596-8100.

Contact Information

Primary practice address
325 N 39Th St Philadelphia PA 19104-4656
Fax: (215) 382-4405
Website:
Authorized official contact:
Name: White, John F

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 128620 Pennsylvania
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 128620 Pennsylvania

Profile Details

NPI number 1992822449
LBN Legal business name West Philadelphia Community Mental Health Consortium, Inc
DBA Doing business as The Consortium Inc
Authorized official White, John F
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 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 1992822449 NPPES
Pennsylvania MEDICAID 1007155230065

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