Provider Demographics
NPI:1386539401
Name:ESPERANZA HEALTH CENTER INC
Entity type:Organization
Organization Name:ESPERANZA HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-302-3600
Mailing Address - Street 1:861 E ALLEGHENY AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-2401
Mailing Address - Country:US
Mailing Address - Phone:215-807-8620
Mailing Address - Fax:215-291-5640
Practice Address - Street 1:861 E ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-2401
Practice Address - Country:US
Practice Address - Phone:215-807-8620
Practice Address - Fax:215-291-5640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESPERANZA HEALTH CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy