DELAWARE VALLEY COMMUNITY HEALTH, INC. (NPI# 1114940582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114940582 |
| Entity Type | Organization |
| Organization Name | DELAWARE VALLEY COMMUNITY HEALTH, INC. |
| Other Organization Name | MARIA DE LOS SANTOS HEALTH CENTER |
| Practice Address |
401 55 W Allegheny Ave Philadelphia PA 19133-3644 |
| Mailing Address |
1412 Fairmount Ave Philadelphia PA 19130-2908 |
| Practice Telephone | 2152912500 |
| Practice Fax Number | 2152912587 |
| Mailing Telephone | 2155994851 |
| Mailing Fax Number | 2142912500 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | CARLA WIMBUSH (SR VP AND CFO) |
| Authorized Official Telephone | 2156845344 |
| Is Organization Subpart | Y |
| Parent Organization Name | DELAWARE VALLEY COMMUNITY HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007729960022 | 05 |
| Other Name | Type Code |
|---|---|
| Maria de los Santos Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536568 | Delaware Valley Community Health, Inc. | Clinic/Center | 400 W Allegheny Ave Bldg 5b, Philadelphia, PA 19133-3639 | 2018-01-31 |
| 1538619333 | Delaware Valley Community Health, Inc. | Clinic/Center | 801 West Girard Avenue, Philadelphia, PA 19122-4212 | 2016-10-05 |
| 1285699686 | Delaware Valley Community Health, Inc. | Clinic/Center | 1412-22 Fairmount Avenue, Philadelphia, PA 19130-2908 | 2006-04-19 |
| 1295279644 | Delaware Valley Community Health, Inc. | Clinic/Center | 800 Chester Pike, Sharon Hill, PA 19079-1400 | 2016-12-05 |
| 1073819967 | Delaware Valley Community Health, Inc. | Clinic/Center | 1600 W Girard Ave, Suite 201, Philadelphia, PA 19130-1615 | 2011-02-10 |
| 1811202153 | Delaware Valley Community Health, Inc. | Clinic/Center | 120 S 30th St, 2nd Floor, Philadelphia, PA 19104-3403 | 2010-08-11 |
| 1720390933 | Delaware Valley Community Health, Inc. | Clinic/Center | 5000 Parkside Ave, Suite 100, Philadelphia, PA 19131-4714 | 2010-07-06 |
| 1689873911 | Delaware Valley Community Health, Inc. | Clinic/Center | 841 E Hunting Park Ave, Suite 201, Philadelphia, PA 19124-4800 | 2007-07-17 |
| 1386864502 | Delaware Valley Community Health, Inc. | Clinic/Center | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2007-04-27 |
| 1174545115 | Delaware Valley Community Health, Inc. | Clinic/Center | 1401 Dekalb St, Norristown, PA 19401-3405 | 2006-07-25 |
| Street Address |
401 55 W ALLEGHENY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19133-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
| 1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
| 1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
| 1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
| 1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
| 1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
| 1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
| 1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
| 1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| Find all providers in zip 19133 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1508478157 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 2463 Emerald St, Philadelphia, PA 19125-1236 | 2020-08-17 |
| 1255943809 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 3116 Frankford Ave, Philadelphia, PA 19134-3827 | 2020-08-17 |
| 1467063396 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1952 E Allegheny Ave, Philadelphia, PA 19134-3122 | 2020-08-13 |
| 1275151607 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1717 W Allegheny Ave, Philadelphia, PA 19132-1606 | 2020-07-13 |
| 1679133268 | Public Health Management Corporation | Clinic/Center | 315 S Broad St, Philadelphia, PA 19107-5213 | 2019-06-17 |
| 1821589615 | Covenant House, Inc | Clinic/Center | 2385 W Cheltenham Ave., Philadelphia, PA 19150 | 2018-05-29 |
| 1225536568 | Delaware Valley Community Health, Inc. | Clinic/Center | 400 W Allegheny Ave Bldg 5b, Philadelphia, PA 19133-3639 | 2018-01-31 |
| 1073037826 | Greater Philadelphia Health Action Inc. | Clinic/Center | 5630 Vine Street, Philadelphia, PA 19139-4703 | 2017-08-02 |
| 1225552177 | Greater Philadelphia Health Action Inc. | Clinic/Center | 3301 Tasker Street, Philadelphia, PA 19145-9996 | 2017-08-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19133 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.