INTERCOMMUNITY ACTION, INC
NPI 1790820405
Community/Behavioral Health in Philadelphia, PA
- 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
- Code Navigator
Location Map
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.
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 |
|---|---|---|---|
| 1000008360094 | MEDICAID (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.