KASAMA PHILLY – NPI #1205670734
Clinic/Center

KASAMA PHILLY is an AHC clinic located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1205670734 to KASAMA PHILLY on June 20, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KASAMA PHILLY below.

NPI Profile for
KASAMA PHILLY

NPI Number
1205670734
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KASAMA PHILLY
Primary location
2418 E YORK ST
PHILADELPHIA, PA 19125-3006
Phone: (267) 217-6438 Fax: (806) 454-5682
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARISSA TAN
MEDICAL DIRECTOR
Phone: (814) 207-9701
Updated
Certification Date
Jun 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.