INTERCOMMUNITY ACTION, INC
NPI 1790820405
Community/Behavioral Health in Philadelphia, PA

Active since February 20, 2007
1801 W PIKE ST, GILLESPIE MIDDLE SCHOOL, PHILADELPHIA, PA 19140(215) 508-6710 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About INTERCOMMUNITY ACTION, INC

This page provides the complete NPI Profile along with additional information for Intercommunity Action, Inc, a provider established in Philadelphia, Pennsylvania operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1790820405 assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is David Bolin (Executive Director)

NPI
1790820405 Verify this NPI
Provider Name
INTERCOMMUNITY ACTION, INC
Entity Type
Organization
Location Address
1801 W PIKE ST GILLESPIE MIDDLE SCHOOL PHILADELPHIA, PA 19140
Location Phone
(215) 508-6710
Mailing Address
6012 RIDGE AVE PHILA, PA 19128
Mailing Phone
(215) 487-0906
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2007
Last Update Date
03-06-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID BOLIN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(215) 487-0906

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1000008360094MEDICAID (05)PA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790820405, enumerated as an "organization" on February 20, 2007.

The provider is located at 1801 W PIKE ST GILLESPIE MIDDLE SCHOOL PHILADELPHIA, PA 19140 and the phone number is (215) 508-6710.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.