GREATER PHILADELPHIA HEALTH ACTION INCORPORATED (NPI# 1508478157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508478157 |
Entity Type | Organization |
Organization Name | GREATER PHILADELPHIA HEALTH ACTION INCORPORATED |
Practice Address |
2463 Emerald St Philadelphia PA 19125-1236 |
Mailing Address |
1401 S 31st St Fl 2 Philadelphia PA 19146-3506 |
Practice Telephone | 2159252400 |
Mailing Telephone | 2159252400 |
Enumeration Date | 2020-08-17 |
Last Update Date | 2020-08-17 |
Authorized Official Name | CELESTE JOHNS (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Telephone | 2159252400 |
Is Organization Subpart | Y |
Parent Organization Name | GREATER PHILADELPHIA HEALTH ACTION 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 |
---|---|
GPHA - Kensngton Health Sciences Health Suite | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1174136741 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 600 E Thompson St, Philadelphia, PA 19125-3427 | 2020-08-25 |
1659822997 | Greater Philadelphia Health Action Incorporated | Pharmacy | 1401 S 31st St, Philadelphia, PA 19146-3506 | 2016-10-21 |
Street Address |
2463 EMERALD ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19125-1236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
Find all providers in zip 19125 |
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 |
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 |
1235653080 | Greater Philadelphia Health Action Inc. | Clinic/Center | 3200 Dickinson Street, Philadelphia, PA 19146-9733 | 2017-08-02 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19125 |
Please comment or provide details below to improve the information on GREATER PHILADELPHIA HEALTH ACTION INCORPORATED.
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.