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 FQ90), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQ90
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 January 1994
- Termination date
- 1 July 2022
- Termination reason
- Change of covered entity type (non-hospital)
- Certification date
- 16 February 2022
- Record last edited
- 1 July 2022
Identifiers
- 340B ID
- FQ90
- Entity type as filed
- FQHCLA
- Site ID
- BPS-LAL-009829
- Grant number
- LALCS00084
- NPI
- 1518074566 (PA)
1900 N 20th St, Philadelphia PA 19121
Associated locations
| Organization | Address | Where |
|---|---|---|
| PHILADELPHIA, CITY OF | 1900 N 20th St | Philadelphia PA 19121 |
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.