PRIMARY CARE HEALTH SERVICES, INC. (NPI# 1144390683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144390683 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE HEALTH SERVICES, INC. |
| Other Organization Name | BRADDOCK FAMILY HEALTH CENTER |
| Practice Address |
404 Braddock Ave Braddock PA 15104-1804 |
| Mailing Address |
7227 Hamilton Ave Pittsburgh PA 15208-1814 |
| Practice Telephone | 4123516300 |
| Practice Fax Number | 4123516500 |
| Mailing Telephone | 4122444700 |
| Mailing Fax Number | 4122444992 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2010-10-19 |
| 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 |
|---|---|
| Braddock Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366512725 | Primary Care Health Services, Inc. | Clinic/Center | 1835 Centre Ave, Pittsburgh, PA 15219-4305 | 2006-11-09 |
| 1891865291 | Primary Care Health Services, Inc. | Clinic/Center | 807 Wallace Ave, Pittsburgh, PA 15221-2312 | 2006-11-09 |
| 1295031029 | Primary Care Health Services, Inc. | Clinic/Center | 441 S Main St, Pittsburgh, PA 15220-5540 | 2011-01-26 |
| 1801085428 | Primary Care Health Services, Inc. | Clinic/Center | 7227 Hamilton Ave, Pittsburgh, PA 15208-1814 | 2007-10-19 |
| 1750452751 | Primary Care Health Services, Inc. | Clinic/Center | 2 Duquesne Plz, Duquesne, PA 15110-1002 | 2006-11-13 |
| 1487724084 | Primary Care Health Services, Inc. | Clinic/Center | 7227 Hamilton Ave, Pittsburgh, PA 15208-1814 | 2006-11-09 |
| Street Address |
404 BRADDOCK AVE |
| City | BRADDOCK |
| State | PA |
| Zip Code | 15104-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528534526 | Qamara Luff | Nurse Practitioner | 404 Braddock Ave, Braddock, PA 15104-1804 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941340 | Dominique K Davis | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104 | 2017-09-19 |
| 1497270540 | Rc Jones Transportation, LLC | Private Vehicle | 134 Harriet Street, Rankin, PA 15104 | 2017-08-10 |
| 1841600400 | Anisa Tate | Counselor | 732 Braddock Ave, Braddock, PA 15104 | 2014-05-05 |
| 1972843050 | Jessica Lynn Gurley | Social Worker | 910 Braddock Ave, Braddock, PA 15104 | 2013-02-26 |
| 1588000152 | Anne Jennings | Family Medicine | 501 Braddock Ave, Braddock, PA 15104 | 2013-05-22 |
| 1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
| 1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
| 1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
| 1528125986 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2007-01-03 |
| 1780964692 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2011-08-23 |
| Find all providers in zip 15104 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.