CITY OF PHILADELPHIA (NPI# 1518074566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518074566 |
| Entity Type | Organization |
| Organization Name | CITY OF PHILADELPHIA |
| Other Organization Name | HEALTH CARE CENTER 5 |
| Practice Address |
1900 N 20th St Health Care Center 5 Philadelphia PA 19121-2217 |
| Mailing Address |
1101 Market St Fl 10 Revenue Management Philadelphia PA 19107-2911 |
| Practice Telephone | 2156852973 |
| Practice Fax Number | 2156856848 |
| Mailing Telephone | 2156855306 |
| Mailing Fax Number | 2156856848 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-12-03 |
| Authorized Official Name | CHRISTINE GADDY (BILLING MANAGER) |
| Authorized Official Telephone | 2156856843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100085 | 05 | |
| PA | 1000076950011 | 05 | |
| PA | 03074 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 66692 | 01 |
| PA | G0001585 | 05 |
| Other Name | Type Code |
|---|---|
| Health Care Center 5 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255468435 | City of Philadelphia | Ambulance | 240 Spring Garden St, Philadelphia, PA 19123-2923 | 2007-02-27 |
| 1942317094 | City of Philadelphia | Clinic/Center | 1700 S Broad St Apt 201, Philadelphia, PA 19145-2340 | 2006-08-24 |
| 1689688798 | City of Philadelphia | Clinical Medical Laboratory | 500 S Broad St Fl 3, Phila, PA 19146 | 2006-07-27 |
| 1881018018 | City of Philadelphia | Clinic/Center | 1930 S Broad St, Unit 14, 5th Floor, Philadelphia, PA 19145-2328 | 2014-02-07 |
| 1831258045 | City of Philadelphia | Skilled Nursing Facility | 2100 W Girard Ave, Philadelphia, PA 19130-1400 | 2006-12-06 |
| 1144337189 | City of Philadelphia | Clinic/Center | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2006-08-24 |
| 1023125085 | City of Philadelphia | Clinic/Center | 321 W Girard Ave, Philadelphia, PA 19123-1531 | 2006-08-24 |
| 1740397769 | City of Philadelphia | Clinic/Center | 555 S 43rd St, Health Care Center 3, Philadelphia, PA 19104-4408 | 2006-08-24 |
| 1427165307 | City of Philadelphia | Clinic/Center | 131 E Chelten Ave, Philadelphia, PA 19144-2153 | 2006-08-24 |
| 1699882597 | City of Philadelphia | Clinic/Center | 2230 Cottman Ave, Philadelphia, PA 19149-1230 | 2006-08-24 |
| Street Address |
1900 N 20TH ST HEALTH CARE CENTER 5 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19121-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093728420 | Sarah Elizabeth Messick | Internal Medicine | 1900 N 20th St, Health Care Center #5, Philadelphia, PA 19121-2217 | 2006-08-15 |
| 1306229992 | Christine Phan | Pharmacist | 1900 N 20th St, Philadelphia, PA 19121-2217 | 2015-07-01 |
| 1588892608 | Ehidiamen Anthony Anetor-jamison | Pediatrics | 1900 N 20th St, Philadelphia, PA 19121-2217 | 2009-06-26 |
| 1326297060 | Kwesi O Ghanney | Dentist | 1900 N 20th St, Health Center #5, Philadelphia, PA 19121-2217 | 2008-09-18 |
| 1881856003 | Eileen Pargola | Internal Medicine | 1900 N 20th St, Philadelphia, PA 19121-2217 | 2008-06-29 |
| 1194949305 | Lynette N. Robinson | Pharmacy Technician | 1900 N 20th St, Philadelphia, PA 19121-2217 | 2007-04-12 |
| 1922190180 | Lena M Edwards | Pharmacist | 1900 N 20th St, Philadelphia, PA 19121-2217 | 2006-09-28 |
| 1073604989 | Stacey Burnett | Pharmacy Technician | 1900 N 20th St, Philadelphia, PA 19121-2217 | 2006-09-27 |
| 1093813883 | Elaine Brown | Pharmacist | 1900 N 20th St, Philadelphia, PA 19121-2217 | 2006-09-20 |
| 1154437226 | Bill V Bucur | Dentist | 1900 N 20th St, Health Center #5, Philadelphia, PA 19121-2217 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975445 | Shaun Shields | Specialist/Technologist | 1814 N. Broad Street, Philadelphia, PA 19121 | 2020-02-27 |
| 1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
| 1003398462 | Lyn Morrissa Meyerhoff | Specialist/Technologist | 1800 N. Broad Street, Philadelphia, PA 19121 | 2018-09-03 |
| 1356853576 | George E Kinsler | Pharmacist | 1941 N 24th St, Phila, PA 19121 | 2017-10-27 |
| 1205358652 | Perfect Love & Care LLC | Home Health | 1812 North Croskey Street, Philadelphia, PA 19121 | 2017-07-07 |
| 1427405257 | Rite-care Pharmacy Inc. | Pharmacy | 2213 Ridge Ave., Philadelphia, PA 19121 | 2016-05-23 |
| 1356735831 | Eguono Eduvie | Psychiatry & Neurology | 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 | 2015-03-24 |
| 1285986828 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St., Philadelphia, PA 19121 | 2012-10-05 |
| 1568764470 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St, Philadelphia, PA 19121 | 2010-11-29 |
| 1730408683 | Pamela Lewis | Registered Nurse | Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 | 2010-05-18 |
| Find all providers in zip 19121 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 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 | 19121 |
Please comment or provide details below to improve the information on CITY OF PHILADELPHIA.
| 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.