DELAWARE VALLEY COMMUNITY HEALTH, INC. (NPI# 1386864502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386864502 |
| Entity Type | Organization |
| Organization Name | DELAWARE VALLEY COMMUNITY HEALTH, INC. |
| Practice Address |
1412 Fairmount Ave Philadelphia PA 19130-2908 |
| Practice Telephone | 2156845344 |
| Practice Fax Number | 2152324093 |
| Mailing Telephone | 2156845344 |
| Mailing Fax Number | 2152324093 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | DR. ALVAN SCOTT MCNEAL (PRESIDENT & CEO) |
| Authorized Official Telephone | 2156845344 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100772996 | 05 |
| 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 |
| 1114940582 | Delaware Valley Community Health, Inc. | Clinic/Center | 401 55 W Allegheny Ave, Philadelphia, PA 19133-3644 | 2006-07-25 |
| 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 |
| 1174545115 | Delaware Valley Community Health, Inc. | Clinic/Center | 1401 Dekalb St, Norristown, PA 19401-3405 | 2006-07-25 |
| Street Address |
1412 FAIRMOUNT AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616882 | Alvan Scott Mcneal | Family Medicine | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2005-08-11 |
| 1538772058 | Lindsay Reid | Physician Assistant | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2020-08-25 |
| 1518577188 | Alicia M Rivera Jones | Social Worker | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2020-08-07 |
| 1174183420 | Kimberly Yulick | Physician Assistant | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2019-06-18 |
| 1871068684 | Lorna L Okletey | Physician Assistant | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2018-10-08 |
| 1245729854 | Yamile Cuevas | Nurse Practitioner | 1412 Fairmount Ave, Philadelphia, PA 19130 | 2018-05-09 |
| 1508377060 | Amanda Sue Davis | Physician Assistant | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2017-10-23 |
| 1720508369 | Nikhil Abreo | Dentist | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2017-06-25 |
| 1346779139 | Brendan Bradford | Physician Assistant | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2017-06-06 |
| 1770025033 | Tosha Lee | Registered Nurse | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2016-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 | 19130 |
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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.