CHESPENN HEALTH SERVICES (NPI# 1750329603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750329603 |
| Entity Type | Organization |
| Organization Name | CHESPENN HEALTH SERVICES |
| Practice Address |
125 E 9th St Chester PA 19013-6019 |
| Mailing Address |
1510 Chester Pike Ste 200 Eddystone PA 19022-1377 |
| Practice Telephone | 6108726131 |
| Practice Fax Number | 6108725128 |
| Mailing Telephone | 6104853800 |
| Mailing Fax Number | 6104854221 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | DR. GARY DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6104853800 |
| Authorized Official Credential | M.D. |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225272263 | Chespenn Health Services | Clinic/Center | 5 S State Rd, Upper Darby, PA 19082-2013 | 2009-04-21 |
| 1396799417 | Chespenn Health Services | Clinic/Center | 744 E Lincoln Highway, Coatesville, PA 19320-3539 | 2006-05-22 |
| 1225270499 | Chespenn Health Services | Clinic/Center | 2602 W 9th St, Suite 100, Chester, PA 19013-2040 | 2009-04-02 |
| 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 |
125 E 9TH ST |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194777995 | Salud Urtula Tiro | Pediatrics | 125 E 9th St, Chester, PA 19013-6019 | 2006-05-17 |
| 1932636040 | Katherine Yori-biermaas | Nurse Practitioner | 125 E 9th St, Chester, PA 19013-6019 | 2017-05-19 |
| 1194251900 | Bruce Auden | Internal Medicine | 125 E 9th St, Chester, PA 19013-6019 | 2017-05-11 |
| 1114331337 | Tina Ahmadinejad | Family Medicine | 125 E 9th St, Chester, PA 19013-6098 | 2014-06-16 |
| 1174728570 | Vincent Depanicis | Dentist | 125 E 9th St, Chester, PA 19013-6019 | 2007-06-18 |
| 1174577035 | Raquibul Islam | Internal Medicine | 125 E 9th St, Chester, PA 19013-6019 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| 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 |
|---|---|---|---|---|
| 1992215560 | Community Medicine Foundation Inc | Clinic/Center | 524 Doctors Court, Catawba Community Mental Health Center, Chester, SC 29706 | 2017-10-09 |
| 1356618318 | Community Medicine Foundation | Clinic/Center | 115 Cestrain Sq, Chester, SC 29706-1979 | 2011-11-18 |
| 1043545411 | Springfield Medical Care Systems Inc | Clinic/Center | 55 Vt Route 11 W, Chester, VT 05143-9202 | 2009-10-02 |
| 1225270499 | Chespenn Health Services | Clinic/Center | 2602 W 9th St, Suite 100, Chester, PA 19013-2040 | 2009-04-02 |
| 1659325751 | Chespenn Health Services | Clinic/Center | 2600 W 9th St, Chester, PA 19013-2040 | 2006-05-22 |
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| Find all providers with the same taxonomy | ||||
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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.