CITY OF PHILADELPHIA (NPI# 1144337189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144337189 |
| Entity Type | Organization |
| Organization Name | CITY OF PHILADELPHIA |
| Other Organization Name | HEALTH CARE CENTER 4 |
| Practice Address |
4400 Haverford Ave Philadelphia PA 19104-1361 |
| Mailing Address |
1101 Market St Fl 10 Revenue Management Philadelphia PA 19107-2911 |
| Practice Telephone | 2156857628 |
| Practice Fax Number | 2156856848 |
| Mailing Telephone | 2156855306 |
| Mailing Fax Number | 2156856848 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-11-25 |
| 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 | G0004755 | 05 | |
| PA | 1000076950010 | 05 | |
| PA | 100084 | 05 | |
| PA | 33104 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 66692 | 01 |
| Other Name | Type Code |
|---|---|
| Health Care Center 4 | 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 |
| 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 |
| 1518074566 | City of Philadelphia | Clinic/Center | 1900 N 20th St, Health Care Center 5, Philadelphia, PA 19121-2217 | 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 |
4400 HAVERFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649219445 | Janet Romano | Obstetrics & Gynecology | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2006-06-06 |
| 1124635818 | Andrea Silver | Nurse Practitioner | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2020-09-26 |
| 1407268980 | Zarna Shah | Family Medicine | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2014-06-02 |
| 1245529460 | Erin Teresa Kelly | Internal Medicine | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2011-03-29 |
| 1093021305 | Matthew John Miller | Dentist | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2010-08-24 |
| 1881817948 | Rashaan J Locke | Pharmacy Technician | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2007-04-10 |
| 1912032889 | E. Michele Thompson | Nurse Practitioner | 4400 Haverford Ave, Health Center #4, Philadelphia, PA 19104-1361 | 2007-02-22 |
| 1467551309 | Linda M Burnett | Pharmacy Technician | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2006-09-21 |
| 1467557066 | Christiana Fatiregun | Pharmacist | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2006-09-14 |
| 1992800528 | In Sub Han | Pharmacist | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2006-09-14 |
| Find all providers in the same location | ||||
| 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 | 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 | 19104 |
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.