FQHC look-alike · PA
PHILADELPHIA, CITY OF
- 0Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 January 1994In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “PHILADELPHIA, CITY OF” (340B ID FQ89), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQ89
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 January 1994
- Termination date
- 1 July 2026
- Termination reason
- Change of covered entity type (non-hospital)
- Certification date
- 2 February 2026
- Record last edited
- 1 July 2026
Identifiers
- 340B ID
- FQ89
- Entity type as filed
- FQHCLA
- Site ID
- BPS-LAL-009830
- Grant number
- LALCS00084
- NPI
- 1164518866 (PA)
4400 Haverford Ave, Philadelphia PA 19104
Associated locations
| Organization | Address | Where |
|---|---|---|
| PHILADELPHIA, CITY OF | 4400 Haverford Ave | Philadelphia PA 19104 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.