Provider Demographics
NPI:1841845369
Name:COURAGE MEDICINE HEALTH CENTER INC.
Entity type:Organization
Organization Name:COURAGE MEDICINE HEALTH CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ACRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-217-3217
Mailing Address - Street 1:7198 CASTOR AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1105
Mailing Address - Country:US
Mailing Address - Phone:267-217-3217
Mailing Address - Fax:267-459-8942
Practice Address - Street 1:7198 CASTOR AVE STE 200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1105
Practice Address - Country:US
Practice Address - Phone:267-217-3217
Practice Address - Fax:267-459-8942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty