EAST LIBERTY FAMILY HEALTH CARE CENTER, INC. (NPI# 1669709655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669709655 |
| Entity Type | Organization |
| Organization Name | EAST LIBERTY FAMILY HEALTH CARE CENTER, INC. |
| Other Organization Name | EAST LIBERTY FAMILY HEALTH CARE CENTER |
| Practice Address |
807 Wallace Ave Pittsburgh PA 15221-2312 |
| Mailing Address |
6023 Harvard Sq Pittsburgh PA 15206-3053 |
| Practice Telephone | 4123457730 |
| Practice Fax Number | 4122420602 |
| Mailing Telephone | 4123618284 |
| Mailing Fax Number | 4123618268 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | MR. RODNEY JONES SR. (CEO) |
| Authorized Official Telephone | 4123626353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007524920015 | 05 |
| Other Name | Type Code |
|---|---|
| East Liberty Family Health Care Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615577 | East Liberty Family Health Care Center, Inc. | Clinic/Center | 7171 Churchland St, Pittsburgh, PA 15206-1217 | 2005-11-03 |
| 1902443260 | East Liberty Family Health Care Center, Inc. | Pharmacy | 6023 Harvard St, Pittsburgh, PA 15206-3053 | 2019-12-05 |
| 1164948733 | East Liberty Family Health Care Center, Inc. | Clinic/Center | 373 Burrows St, Pittsburgh, PA 15213-2201 | 2017-08-16 |
| 1760642896 | East Liberty Family Health Care Center, Inc. | Clinic/Center | 6023 Harvard Sq, Pittsburgh, PA 15206-3053 | 2008-06-12 |
| Street Address |
807 WALLACE AVE |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15221-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891865291 | Primary Care Health Services, Inc. | Clinic/Center | 807 Wallace Ave, Pittsburgh, PA 15221-2312 | 2006-11-09 |
| 1447768015 | Joell Ann Pavlik | Dental Hygienist | 807 Wallace Ave, Pittsburgh, PA 15221-2312 | 2018-01-17 |
| 1407213291 | Rossanne Decastro | Registered Nurse | 807 Wallace Ave, 4th Floor Room 402, Pittsburgh, PA 15221-2312 | 2016-01-25 |
| 1609297340 | Megan Rinard | Registered Nurse | 807 Wallace Ave, Pittsburgh, PA 15221-2312 | 2013-12-24 |
| 1245664333 | Stacey Michelle Mitts | Registered Nurse | 807 Wallace Ave, Achd Nfp Suite 402, Pittsburgh, PA 15221-2312 | 2013-08-26 |
| 1174956585 | Amanda Mennow | Registered Nurse | 807 Wallace Ave, 4th Floor, Pittsburgh, PA 15221-2312 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093198657 | Adisa Bomani Branch | Specialist/Technologist | 7421 Lighthouse Point, Pittsburgh, PA 15221 | 2015-07-01 |
| 1699174920 | Jocelyn Zuniga | Counselor | 221 Pen Avenue, Pittsburgh, PA 15221 | 2014-08-22 |
| 1437583473 | Lisa Hudgins-lopez | Registered Nurse | 807 Wallace Avenue, Hosanna House, Room 402, Pittsburgh, PA 15221 | 2013-08-27 |
| 1881035103 | Upmc Community Medicine Inc | Internal Medicine | 21 Yost Blulevard, Suite 216, Pittsburgh, PA 15221 | 2013-07-15 |
| 1861745648 | Jeffrey Salipante | Physical Therapist | 3 Parkway Center East, 2020 Ardmore Blvd. Suite 295, Forest Hills, PA 15221 | 2012-10-18 |
| 1760731350 | Lori Brecko | Physical Therapist | 301 Meade Street, Wilkinsburg, PA 15221 | 2012-08-29 |
| 1255635926 | George Jones | Counselor | 1416 Traymore Ave, Pittsburgh, PA 15221 | 2011-01-10 |
| 1114236700 | Life's Journey Counseling Services | Counselor | 721 Rebecca Avenue, Sister Thea Bowman Catholic Academy, Wilkinsburg, PA 15221 | 2010-09-29 |
| 1386969186 | Justiceworks Youthcare Sc Inc. | Community/Behavioral Health | 1500 Ardmore Blvd, Suite 410, Pittsburgh, PA 15221 | 2010-04-05 |
| 1194054270 | Sara L Affalter | Counselor | 806 Walnut Street, Pittsburgh, PA 15221 | 2009-12-18 |
| Find all providers in zip 15221 | ||||
| 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 |
|---|---|---|---|---|
| 1952552986 | Northside Christian Health Center | Clinic/Center | 525 Mount Pleasant Rd, Pittsburgh, PA 15214-2427 | 2008-10-08 |
| 1376615815 | Primary Care Health Services Inc. | Clinic/Center | 1101 N Murtland St, Pittsburgh, PA 15208-1355 | 2006-11-13 |
| 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 |
| 1134299506 | Primary Care Health Services Inc. | Clinic/Center | 1014 Sheffield St, Pittsburgh, PA 15233-1533 | 2006-11-09 |
| 1982658308 | Squirrel Hill Health Center | Clinic/Center | 4516 Browns Hill Rd, Pittsburgh, PA 15217-2917 | 2006-05-20 |
| 1184615577 | East Liberty Family Health Care Center, Inc. | Clinic/Center | 7171 Churchland St, Pittsburgh, PA 15206-1217 | 2005-11-03 |
| 1740283845 | Metro Family Practice, Inc. | Clinic/Center | 1789 S Braddock Ave, Suite 410, Pittsburgh, PA 15218-1842 | 2005-05-23 |
| 1164948733 | East Liberty Family Health Care Center, Inc. | Clinic/Center | 373 Burrows St, Pittsburgh, PA 15213-2201 | 2017-08-16 |
| 1114339371 | Sto-rox Neighborhood Health Council, Inc. | Clinic/Center | 151 Ruth Street, Pittsburgh, PA 15211-2308 | 2014-05-22 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15221 |
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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.