NORTH PHILADELPHIA HEALTH SYSTEM (NPI# 1336350966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336350966 |
| Entity Type | Organization |
| Organization Name | NORTH PHILADELPHIA HEALTH SYSTEM |
| Other Organization Name | GMC GOLDMAN CLINIC GOLDMAN IOP |
| Practice Address |
801 W Girard Ave Philadelphia PA 19122-4212 |
| Mailing Address |
801 W Girard Ave Attn Business Office Philadelphia PA 19122-4212 |
| Practice Telephone | 2157872000 |
| Mailing Telephone | 2157872000 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | MS. GERRI H WALKER (CEO) |
| Authorized Official Telephone | 2157879001 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH PHILADELPHIA HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007276960014 | 05 | |
| PA | 1007276960111 | 05 |
| Other Name | Type Code |
|---|---|
| GMC Goldman Clinic Goldman IOP | Doing Business As Name - Organization |
| Goldman Clinic Goldman IOP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922386358 | North Philadelphia Health System | Psychiatric Hospital | 801 W. Girard Ave, Philadelphia, PA 19122-4212 | 2011-08-03 |
| 1417302993 | North Philadelphia Health System | Internal Medicine | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2016-05-03 |
| 1750735015 | North Philadelphia Health System | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2016-04-22 |
| 1588977706 | North Philadelphia Health System | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2010-07-16 |
| 1376799981 | North Philadelphia Health System | Hospitalist | 1600 West Girard Avenue, Philadelphia, PA 19130-1615 | 2008-08-14 |
| 1699975961 | North Philadelphia Health System | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-07-24 |
| 1073713343 | North Philadelphia Health System | Rehabilitation, Substance Use Disorder Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-07-24 |
| 1619177961 | North Philadelphia Health System | Clinic/Center | 801 W Girard Ave, Phila, PA 19122-4212 | 2007-07-24 |
| 1053511329 | North Philadelphia Health System | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122 | 2007-07-24 |
| 1700086071 | North Philadelphia Health System | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-07-24 |
| Street Address |
801 W GIRARD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275534018 | Ilia Nikhinson | Psychiatry & Neurology | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2005-08-02 |
| 1104337641 | Merakey Recovery Services | Community/Behavioral Health | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-10-23 |
| 1477064913 | Merakey Recovery Services | Community/Behavioral Health | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-10-23 |
| 1386155828 | Merakey Recovery Services | Community/Behavioral Health | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-10-23 |
| 1659882199 | Merakey Recovery Services | Community/Behavioral Health | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-10-23 |
| 1154832533 | Merakey Recovery Services | Community/Behavioral Health | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-10-12 |
| 1245759943 | Merakey Recovery Services | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| 1689193385 | Merakey Recovery Services | Psychiatric Hospital | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| 1356860050 | Merakey Recovery Services | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| 1871012575 | Merakey Recovery Services | Psychiatric Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| Find all providers in the same location | ||||
| 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 | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851745566 | Kensington Hospital Outpatient Treatment Program | Clinic/Center | 2100 N Front St, Philadelphia, PA 19122-1705 | 2016-04-19 |
| 1184016651 | Thw Group LLC | Clinic/Center | 7900 Frankford Ave, Philadelphia, PA 19136-3041 | 2015-02-20 |
| 1487796249 | Jewish Employment & Vocational Services | Clinic/Center | 5820 Old York Rd, Philadelphia, PA 19141-2506 | 2007-02-12 |
| 1356860050 | Merakey Recovery Services | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| 1336302017 | Kensington Hospital- Intensive Outpatient Program | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2008-07-03 |
| 1962680751 | Northeast Treatment Centers. Inc. | Clinic/Center | 499 N 5th St, Suite D-e, Philadelphia, PA 19123-4005 | 2008-02-05 |
| 1992824312 | Thomas Jefferson University | Clinic/Center | 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 | 2007-03-28 |
| 1669599973 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 451 S University Ave, Philadelphia, PA 19104-4544 | 2007-03-23 |
| 1922156314 | Kensington Hospital Outpatient Treatment Program | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2007-01-08 |
| 1598798928 | North Philadelphia Health System | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2006-07-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19122 |
Please comment or provide details below to improve the information on NORTH PHILADELPHIA HEALTH SYSTEM.
| 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.