| NPI | 1073819967 |
|---|---|
| Doing Business As | FAIRMOUNT PRIMARY CARE CENTER AT ST. JOSEPH'S HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | PATRICIA DEITCH President & Chief Executive Officer 215-235-9600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-06-07 |