Bravo Health Pennsylvania, INC.
Health Maintenance Organization in Philadelphia, PA. Organization (NPI-2).
NPI number1326469735
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1326469735
- Entity type
- Organization (NPI-2)
- Legal business name
- Bravo Health Pennsylvania, INC.
- Organization subpart
- Yes
- Enumeration date
- Jan 2, 2014
- Certification date
- Jul 27, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | 11524 | PA | Yes |
Practice location
1500 Spring Garden StPhiladelphia, PA 19130-4067
Phone 832-553-3375
Mailing address
1500 Spring Garden StPhiladelphia, PA 19130-4067
Phone 832-553-3375
Authorized official
Marlena Powell Pickering
Corporate Counsel
5714015886
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All 21 Health Maintenance Organization providers in Philadelphia · All 53,595 providers in Philadelphia
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