PUBLIC HEALTH MANAGEMENT CORPORATION (NPI# 1679133268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679133268 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH MANAGEMENT CORPORATION |
| Other Organization Name | BROAD ST. MINISTRY |
| Practice Address |
315 S Broad St Philadelphia PA 19107-5213 |
| Mailing Address |
1500 Market St. Lm 500 West Tower Philadelphia PA 19102 |
| Practice Telephone | 2157354847 |
| Mailing Telephone | 2159852500 |
| Mailing Fax Number | 2677652325 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | DINETTA ARMSTRONG (MANAGING DIRECTOR) |
| Authorized Official Telephone | 2159852553 |
| 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 |
| Other Name | Type Code |
|---|---|
| Broad St. Ministries | Other Name - Individual/Organization |
| Broad St. Ministry | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508426933 | Public Health Management Corporation | Respite Care | 1221 N 19th St, Philadelphia, PA 19121-4901 | 2019-06-18 |
| 1124555909 | Public Health Management Corporation | Clinic/Center | 4108 Parkside Ave, Philadelphia, PA 19104-1020 | 2017-05-11 |
| 1922535764 | Public Health Management Corporation | Clinic/Center | 71 West Wissachickon Ave., Flourtown, PA 19031 | 2017-05-11 |
| 1932245099 | Public Health Management Corporation | Community/Behavioral Health | 4108 Parkside Avenue, Philadelphia, PA 19102 | 2007-01-29 |
| 1053847053 | Public Health Management Corporation | Clinic/Center | 1300 E Tulpehocken St, Philadelphia, PA 19138-1523 | 2017-05-11 |
| 1699211854 | Public Health Management Corporation | Clinic/Center | 3401 N Broad St, First Floor Suite D101, Philadelphia, PA 19140-5103 | 2017-01-12 |
| 1598156804 | Public Health Management Corporation | Clinic/Center | 412 W Lehigh Ave, Phila, PA 19133-3148 | 2015-02-09 |
| 1982027231 | Public Health Management Corporation | Case Management | 5675 N Front St, Philadelphia, PA 19120-2719 | 2014-01-22 |
| 1417382888 | Public Health Management Corporation | Clinic/Center | 1900 N 9th St, Phila, PA 19122-2024 | 2013-09-04 |
| 1306285176 | Public Health Management Corporation | Clinic/Center | 5675 N Front St, Phila, PA 19120-2719 | 2013-06-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Public Health Management Corporation | Centre Square East, 1500 Market Street, Philadelphia, PA 19102 |
| Street Address |
315 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| 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 |
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| 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 |
| 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 |
| 1235653080 | Greater Philadelphia Health Action Inc. | Clinic/Center | 3200 Dickinson Street, Philadelphia, PA 19146-9733 | 2017-08-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on PUBLIC HEALTH MANAGEMENT CORPORATION.
| 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.