| NPI | 1285699686 |
|---|---|
| Doing Business As | FAIRMOUNT PRIMARY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ALVAN SCOTT MCNEAL President & CEO 215-684-5344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-09-08 |