Provider Demographics
NPI:1871911776
Name:PATIENT CARE COORDINATION, INC.
Entity type:Organization
Organization Name:PATIENT CARE COORDINATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:RIMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:215-725-7200
Mailing Address - Street 1:417 N 8TH ST
Mailing Address - Street 2:SUITE 503
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-3916
Mailing Address - Country:US
Mailing Address - Phone:215-725-7200
Mailing Address - Fax:215-725-7201
Practice Address - Street 1:417 N 8TH ST
Practice Address - Street 2:SUITE 503
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-3916
Practice Address - Country:US
Practice Address - Phone:215-725-7200
Practice Address - Fax:215-725-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-29
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health