CCN: 398352 NPI: 1396301149 Organization

CC Health Care Agency, Inc.

1102 W SOMERVILLE AVE
PHILADELPHIA, PA 191412904

Contact Information

Phone 2673046775
Enumeration Date 2019-05-17
Last Updated 2024-02-19

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 37964

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 12502

localityCode 01

cbsaActualGeographicLocation 37964

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 12502

localityCode 01

cbsaActualGeographicLocation 37964

providerType 36

operatingCostToChargeRatio 1.0

carrierCode 12502

localityCode 01

cbsaActualGeographicLocation 37964

providerType 36

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 12502

localityCode 01