AMPERSAND HEALTH-PA, LLC (NPI# 1760865711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760865711 |
| Entity Type | Organization |
| Organization Name | AMPERSAND HEALTH-PA, LLC |
| Other Organization Name | CITYLIFE NEIGHBORHOOD CLINICS |
| Practice Address |
3945 Chestnut St Second Floor Philadelphia PA 19104-3621 |
| Mailing Address |
2020 21st Ave S Suite 202 Nashville TN 37212-4354 |
| Practice Telephone | 6157084487 |
| Mailing Telephone | 6157084487 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | WILLIAM BRADLEY ROUSE (EVP) |
| Authorized Official Telephone | 6157084487 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMPERSAND HEALTH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CityLife Neighborhood Clinics | Doing Business As Name - Organization |
| Street Address |
3945 CHESTNUT ST SECOND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609121482 | Ryan Dominic Menezes | Dentist | 3945 Chestnut St, Apt 907, Philadelphia, PA 19104-3621 | 2012-07-18 |
| 1528420056 | Hyeon Hwangbo | Dentist | 3945 Chestnut St, Apt 405, Philadelphia, PA 19104-3621 | 2016-03-23 |
| 1700243805 | Jaime Brown | Registered Nurse | 3945 Chestnut St, Philadelphia, PA 19104-3621 | 2016-01-20 |
| 1285010801 | Citylife-pa, PC | General Practice | 3945 Chestnut St, 2nd Floor, Philadelphia, PA 19104-3621 | 2015-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697061 | Family Vision Enterprises | Clinic/Center | 6201 N Front St Ste 119, Philadelphia, PA 19120-1541 | 2019-03-11 |
| 1366950776 | Dedicated Pennsylvania Holding, LLC | Clinic/Center | 5675 N. Front Strreet, Suite 141, Philadelphia, PA 19120-1910 | 2018-01-19 |
| 1316456494 | Maintenance Matrix, LLC | Clinic/Center | 200 S Broad St Ste 430, Philadelphia, PA 19102-3800 | 2017-09-21 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1518417096 | Lower Bucks Pediatrics | Clinic/Center | 3400 Red Lion Rd Apt 41a, Philadelphia, PA 19114-1348 | 2016-10-10 |
| 1801138896 | Fademos Family Practice | Clinic/Center | 16 Old Ashton Rd Ste 1, Philadelphia, PA 19152-1661 | 2013-03-18 |
| 1083912000 | Zhanna Galperin,m.d., P.C.,inc | Clinic/Center | 1822 Benton St, Philadelphia, PA 19152-1007 | 2011-03-01 |
| 1457667859 | A.s.w. Pediatrics | Clinic/Center | 6358 Mccallum St, Philadelphia, PA 19144-2553 | 2010-08-23 |
| 1285875435 | Girard Internal Medicine LLC | Clinic/Center | 2625 W Girard Ave, Philadelphia, PA 19130-1333 | 2009-03-18 |
| 1689612277 | La Noce Medical Associates | Clinic/Center | 446 Domino Ln, Philadelphia, PA 19128-4302 | 2006-06-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on AMPERSAND HEALTH-PA, LLC.
| 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.