PRIMARY CARE HEALTH SERVICES INC. (NPI# 1629148093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629148093 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE HEALTH SERVICES INC. |
| Other Organization Name | MCKEESPORT FAMILY HEALTH SERVICES |
| Practice Address |
627 Lysle Blvd Mckeesport PA 15132-2513 |
| Mailing Address |
7227 Hamilton Ave Pittsburgh PA 15208-1814 |
| Practice Telephone | 4126644112 |
| Practice Fax Number | 4126640298 |
| Mailing Telephone | 4122444700 |
| Mailing Fax Number | 4122444992 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | MR. WILFORD A. PAYNE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4122444700 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIMARY CARE HEALTH SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mckeesport Family Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
| 1376615815 | Primary Care Health Services Inc. | Clinic/Center | 1101 N Murtland St, Pittsburgh, PA 15208-1355 | 2006-11-13 |
| 1134299506 | Primary Care Health Services Inc. | Clinic/Center | 1014 Sheffield St, Pittsburgh, PA 15233-1533 | 2006-11-09 |
| 1003986498 | Primary Care Health Services Inc. | Clinic/Center | 415 Neptune St, Pittsburgh, PA 15220-5516 | 2006-11-09 |
| 1134299514 | Primary Care Health Services Inc. | Clinic/Center | 117 N Negley Ave, Pittsburgh, PA 15206-3518 | 2006-11-09 |
| 1417027806 | Primary Care Health Services Inc. | Clinic/Center | 1800 West St, Homestead, PA 15120-2578 | 2006-11-09 |
| Street Address |
627 LYSLE BLVD |
| City | MCKEESPORT |
| State | PA |
| Zip Code | 15132-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340006 | Robin Louise Sims | Pediatrics | 627 Lysle Blvd, Mckeesport Family Health Center, Mckeesport, PA 15132 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484163 | Hetal Ramesh Boricha | Student in an Organized Health Care Education/Training Program | 1521 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-07-10 |
| 1821610130 | Tissa Bijoy George | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2020-05-08 |
| 1629699103 | Nassar Mukhtar | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Suite Mckeesport Internal Medicine, Mckeesport, PA 15132 | 2020-05-06 |
| 1851911432 | Waqas Ali | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-04-23 |
| 1932738739 | Oyinkansola Morenike Ogundimu | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latternan Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-03 |
| 1700415817 | Stephanie C Otuwa | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latterman Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-02 |
| 1417517855 | Anna Jayoung ' Lee | Student in an Organized Health Care Education/Training Program | 2347 5th Ave., Mckeesport, PA 15132 | 2019-06-18 |
| 1447819198 | Tahreem Ahmad | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Mckeesport Internal Medicine, Suite 1, Mckeesport, PA 15132 | 2019-06-06 |
| 1174181614 | Malik Ahmad | Student in an Organized Health Care Education/Training Program | Mckeesport Hospital Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-30 |
| 1184281198 | Tariq Hassan | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-24 |
| Find all providers in zip 15132 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1275151607 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1717 W Allegheny Ave, Philadelphia, PA 19132-1606 | 2020-07-13 |
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| Find all providers with the same taxonomy | ||||
| City | MCKEESPORT |
| Zip Code | 15132 |
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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.