Provider Demographics
NPI:1528602141
Name:MHP NOLIBS LLC
Entity Type:Organization
Organization Name:MHP NOLIBS LLC
Other - Org Name:AFC URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-935-6772
Mailing Address - Street 1:610 CONSHOHOCKEN STATE RD
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1437
Mailing Address - Country:US
Mailing Address - Phone:215-935-6772
Mailing Address - Fax:215-935-6389
Practice Address - Street 1:180 W GIRARD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-1660
Practice Address - Country:US
Practice Address - Phone:267-319-8047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERION HEALTH PARTNERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-06
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care