Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Penrose Medical Center, Inc

Organization Primary Care Clinic/Center · NPI 1417132929

Penrose Medical Center, Inc is a Primary Care Clinic/Center in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1603 E Wadsworth Ave
Philadelphia, PA 19150-1019
Phone: (215) 242-2439
Fax: (215) 242-2596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence MD066378L (PA)

Record details

NPI number1417132929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Coachi — President · (215) 276-8788
NPI enumeratedJanuary 3, 2008
Last updated in NPPESNovember 19, 2015
Mailing address1603 E Wadsworth Ave, Philadelphia, PA 19150-1019

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