DELAWARE VALLEY COMMUNITY HEALTH INC. NPI 1538619333

NPI Information

  • NPI: 1538619333
  • Provider Name: DELAWARE VALLEY COMMUNITY HEALTH, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: FAIRMOUNT PRIMARY CARE CENTER AT GIRARD MEDICAL CENTER
  • CLIA Number: 39D2121951
  • Address: 820 W. THOMPSON STREET
    PHILADELPHIA, PA
    ZIP 19122
  • Phone: (215) 827-8010

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NPI Details

DELAWARE VALLEY COMMUNITY HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. DELAWARE VALLEY COMMUNITY HEALTH, INC. NPI is 1538619333. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairmount Primary Care Center At Girard Medical Center.

The provider's business location address is:

820 W. THOMPSON STREET
PHILADELPHIA, PA
ZIP 19122-212
Phone: (215) 827-8010
Fax: (215) 232-1037

The provider's authorized official is Alvan Scott Mcneal .
The authorized official title is President & Ceo and has the following contact phone number (215) 684-5344.

The CLIA number assigned to this NPI record is 39D2121951 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/5/2016 and was last updated on 9/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007729960028MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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