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Active NPI 1730321688 Organization (Entity Type 2)

Phmc Immunization Program

Clinic/Center - Health Service • Phildelphia, PA

About Phmc Immunization Program NPI 1730321688 Summary

Phmc Immunization Program is a verified healthcare organization specializing in Clinic/Center - Health Service operating in Phildelphia, PA. Located at 1430 CHERRY ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1730321688.

Administrative operations and authorized compliance are overseen by William Tindall (Credentialing).

Facility Location & Contact Primary Location

Facility Address

1430 Cherry St

Phildelphia, PA 191021526

Telephone 2156867150

Fax 2155691532

Authorized Official Information

Authorized Contact Name

MR. William Tindall

Title / Role

Credentialing

Official Telephone

2159852523

Facility Classifications & Specialties

Clinic/Center - Health Service Primary Taxonomy

NUCC Taxonomy Code: 261QH0100X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active March 24, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2009

Registered at 1430 CHERRY ST, PHILDELPHIA, PA 191021526 (Tel: 2156867150)

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Updated Business Mailing Address March 24, 2009

Registered at 260 S BROAD ST, 18TH FL ATTN: B TINDALL, PHILADELPHIA, PA 191025021 (Tel: 2159852523)

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Organization / Clinic Name Updated March 24, 2009

Operating as PHMC IMMUNIZATION PROGRAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2009

Clinic/Center

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Initial NPI Registration & Enumeration March 24, 2009

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1730321688

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: March 24, 2009

Last Update: March 24, 2009

Update or Correct Listing

Mailing Address

260 S Broad St, 18th Fl Attn: B Tindall

Philadelphia, PA 191025021

Phone: 2159852523

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.