Organization · Type 2 NPI

Delaware Valley Community Health, Inc.

Federally Qualified Health Center (FQHC) · Philadelphia, PA

NPI number 1073819967 Active

Practice location

1600 W Girard Ave, Suite 201
Philadelphia, PA 19130-1615

Call (215) 827-8010 Map

Fax (215) 765-2191

Mailing address

1412 Fairmount Ave
Philadelphia, PA 19130-2908

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

Mani Medical Services LLCGastroenterology Physician Philadelphia, PA NPI 1538336466
Elena Karzova, MDPsychiatry Physician Philadelphia, PA NPI 1669498549
Mao Hsiung Chen, MDAnesthesiology Physician Philadelphia, PA NPI 1952394579
Michelle Moreschi, MDPulmonary Disease Physician Phila, PA NPI 1083607394
Neil J. Berger, DODiagnostic Radiology Physician Philadelphia, PA NPI 1376535997

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NPI record

NPI: 1073819967
Entity type: Organization (Type 2)
Issued: Feb 10, 2011
Last updated: Jun 7, 2011
Status: Active
Subpart: Yes of Delaware Valley Community Health, Inc.

Other names

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Fairmount Primary Care Center at St. Joseph's Hospital · doing business as

Authorized official

Ms. Patricia Deitch
President & Chief Executive Officer
(215) 235-9600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073819967

Delaware Valley Community Health, Inc.'s National Provider Identifier is 1073819967, issued on Feb 10, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 7, 2011.