CHESPENN HEALTH SERVICES (NPI# 1396799417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396799417 |
| Entity Type | Organization |
| Organization Name | CHESPENN HEALTH SERVICES |
| Practice Address |
744 E Lincoln Highway Coatesville PA 19320-3539 |
| Mailing Address |
1510 Chester Pike Ste 200 Eddystone PA 19022-1377 |
| Practice Telephone | 6103845899 |
| Practice Fax Number | 6103848385 |
| Mailing Telephone | 6104853800 |
| Mailing Fax Number | 6104854221 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | DR. GARY DAVIS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6104853800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CHESPENN HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225272263 | Chespenn Health Services | Clinic/Center | 5 S State Rd, Upper Darby, PA 19082-2013 | 2009-04-21 |
| 1225270499 | Chespenn Health Services | Clinic/Center | 2602 W 9th St, Suite 100, Chester, PA 19013-2040 | 2009-04-02 |
| 1750329603 | Chespenn Health Services | Clinic/Center | 125 E 9th St, Chester, PA 19013-6019 | 2006-06-03 |
| 1659325751 | Chespenn Health Services | Clinic/Center | 2600 W 9th St, Chester, PA 19013-2040 | 2006-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHESPENN HEALTH SERVICES, INC. | 1510 Chester Pike Ste 200, Eddystone, PA 19022-1377 |
| Street Address |
744 E LINCOLN HIGHWAY |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| 1184264632 | Evolve Individual Services, LLC | Counselor | 135 E Chestnut St, 204, Coatesville, PA 19320 | 2020-01-13 |
| 1649824111 | Angela Lynne Sylvina | Social Worker | 1825 E Lincoln Highway, Coatesville, PA 19320 | 2019-08-01 |
| 1629540257 | Rhonda Jean Sanford | Social Worker | Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 | 2018-12-20 |
| 1528540499 | Jetquatta Parker | Licensed Practical Nurse | 786 Coates St, Coatesville, PA 19320 | 2018-09-06 |
| 1639608052 | Shafkat Hussain | Pharmacist | 800 East Lincoln Highway, Coatesville, PA 19320 | 2017-06-08 |
| 1790222032 | Elizabeth Barnett | Counselor | 2034crest Dr, Coatesville, PA 19320 | 2017-01-25 |
| Find all providers in zip 19320 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | COATESVILLE |
| Zip Code | 19320 |
Please comment or provide details below to improve the information on CHESPENN HEALTH SERVICES.
| 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.