Provider Demographics
NPI:1831755735
Name:GOOD HOPE HEALTH CENTER CORP
Entity type:Organization
Organization Name:GOOD HOPE HEALTH CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:STUDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-298-0948
Mailing Address - Street 1:PO BOX 16986
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19142-0986
Mailing Address - Country:US
Mailing Address - Phone:215-298-0948
Mailing Address - Fax:
Practice Address - Street 1:7712 BUIST AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-1705
Practice Address - Country:US
Practice Address - Phone:215-298-0948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty