PUBLIC HEALTH MANAGEMENT CORP (NPI# 1194822155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194822155 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH MANAGEMENT CORP |
| Other Organization Name | PHILADELPHIA HEALTH MANAGEMENT CORPORATION |
| Practice Address |
1035 W Berks St Philadelphia PA 19122-1909 |
| Mailing Address |
260 S Broad St Fl 18 Philadelphia PA 19102-5000 |
| Practice Telephone | 2157656690 |
| Practice Fax Number | 2157656694 |
| Mailing Telephone | 2157656690 |
| Mailing Fax Number | 2157656694 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-04-11 |
| Authorized Official Name | MR. FRANK KILLIAN (DIRECTOR - OPERATIONS) |
| Authorized Official Telephone | 2159852514 |
| 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 | 1000016640039 | 05 |
| Other Name | Type Code |
|---|---|
| Philadelphia Health Management Corporation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578817680 | Public Health Management Corp | Clinic/Center | 2830 N American St, Philadelphia, PA 19133-3517 | 2012-10-29 |
| 1114270618 | Public Health Management Corp | Clinic/Center | 4030 Brown St, Philadelphia, PA 19104-4844 | 2012-10-21 |
| 1720134240 | Public Health Management Corp | Community/Behavioral Health | 1200 Callowhill Street, Philadelphia, PA 19123 | 2007-01-26 |
| 1750395653 | Public Health Management Corp | Clinic/Center | 500 Adams Avenue, Philadelphia, PA 19120-2102 | 2006-07-28 |
| 1225588981 | Public Health Management Corp | Public Health or Welfare | 1500 Market St, Centre Square East, Philadelphia, PA 19102-2100 | 2016-10-06 |
| 1144502634 | Public Health Management Corp | Clinic/Center | 216 W Somerset St, Philadelphia, PA 19133-3534 | 2011-09-12 |
| 1295873461 | Public Health Management Corp | Clinic/Center | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2007-02-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Public Health Management Corporation | Centre Square East, 1500 Market Street, Philadelphia, PA 19102 |
| Street Address |
1035 W BERKS ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427409 | Donna L Brian | Nurse Practitioner | 1035 W Berks St, Philadelphia, PA 19122-1909 | 2006-04-20 |
| 1952555997 | Karen E Walker | Nurse Practitioner | 1035 W Berks St, Philadelphia, PA 19122-1909 | 2008-11-04 |
| 1588614267 | Deborah Wimmer | Nurse Practitioner | 1035 W Berks St, Philadelphia, PA 19122-1909 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
| 1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
| 1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
| 1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| 1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
| 1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
| 1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
| 1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
| 1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
| Find all providers in zip 19122 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 | 19122 |
Please comment or provide details below to improve the information on PUBLIC HEALTH MANAGEMENT CORP.
| 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.