Youth Build Phila Charter School

LBN: Youth Build Phila Charter School
Youth Build Phila Charter School is an health care organization with primary practice located at 1231 N Broad St 3Rd Floor, Philadelphia PA 19122-4021. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Youth Build Phila Charter School can be contacted via phone (215) 627-8671, or through Sidhu, Simran via phone (215) 627-8671.

Contact Information

Primary practice address
1231 N Broad St 3Rd Floor Philadelphia PA 19122-4021
Phone: (215) 627-8671
Fax: (215) 763-5774
Website:
Map and Directions
Authorized official contact:
Name: Sidhu, Simran
Phone: (215) 627-8671

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X Pennsylvania

Profile Details

NPI number 1144360660
LBN Legal business name Youth Build Phila Charter School
DBA Doing business as
Authorized official Sidhu, Simran
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 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 1144360660 NPPES
Pennsylvania MEDICAID 0017170560001

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