Provider Demographics
NPI:1184326191
Name:TEMPLE CENTER FOR POPULATION HEALTH, LLC
Entity type:Organization
Organization Name:TEMPLE CENTER FOR POPULATION HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, BSN, RN
Authorized Official - Phone:215-707-2771
Mailing Address - Street 1:TEMPLE CENTER FOR POPULATION HEALTH
Mailing Address - Street 2:3509 N BROAD ST, BOYER PAVILLION, FL 9
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-4105
Mailing Address - Country:US
Mailing Address - Phone:215-707-7188
Mailing Address - Fax:
Practice Address - Street 1:TEMPLE CENTER FOR POPULATION HEALTH
Practice Address - Street 2:3509 N BROAD ST, BOYER PAVILLION, FL 9
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19140-4105
Practice Address - Country:US
Practice Address - Phone:215-707-7188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management