PHILADELPHIA VA CLINIC – NPI #1659315380
Clinic/Center

PHILADELPHIA VA CLINIC is an AHC clinic located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1659315380 to PHILADELPHIA VA CLINIC on June 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QV0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in VA

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 PHILADELPHIA VA CLINIC below.

NPI Profile for
PHILADELPHIA VA CLINIC

NPI Number
1659315380
Enumeration Date

(about 20 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
PHILADELPHIA VA CLINIC
Primary location
214 NORTH 4TH ST.
2ND FLOOR
PHILADELPHIA, PA 19106
Phone: (215) 923-1163 Fax: (215) 923-4032
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BARBARA MAYERICK
DIRECTOR, BUSINESS DEVELOPMENT
Phone: (202) 254-0339
Updated
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
261QV0200X
- Clinic/Center / VA (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.