CHC IMMUNIZATION AND TRAVEL HEALTH CENTER


Address: 5 Windsor Avenue, Suite 1, Upper Darby, PA 19082-2727
Phone: 6108531085

CHC IMMUNIZATION AND TRAVEL HEALTH CENTER (NPI# 1053684662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053684662
Entity Type Organization
Organization Name CHC IMMUNIZATION AND TRAVEL HEALTH CENTER
Practice Address 5 Windsor Avenue
Suite 1
Upper Darby
PA 19082-2727
Practice Telephone 6108531085
Practice Fax Number 6108536799
Mailing Telephone 6108531085
Mailing Fax Number 6108536799
Enumeration Date 2012-02-13
Last Update Date 2012-02-13
Authorized Official Name MRS. NELIA PASUMBAL BLANCO (PRESIDENT)
Authorized Official Telephone 6106087334
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 5 WINDSOR AVENUE
SUITE 1
City UPPER DARBY
State PA
Zip Code 19082-2727

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City UPPER DARBY
Zip Code 19082

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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