Organization · Type 2 NPI

Delaware Valley Community Health, Inc.

Federally Qualified Health Center (FQHC) · Philadelphia, PA

NPI number 1285699686 Active

Practice location

1412-22 Fairmount Avenue
Philadelphia, PA 19130-2908

Fax (215) 232-4093

Specialties and licenses

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

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

3 other providers at this address

Kierstyn Jeffries, PA-CPhysician Assistant Philadelphia, PA NPI 1609487859
Lauren Ashli Kjos, PA-CPhysician Assistant Philadelphia, PA NPI 1568865749
Noel Boquiren Ramirez, LCSWClinical Social Worker Philadelphia, PA NPI 1811305865

Other federally qualified health center (fqhc) providers in Philadelphia

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NPI record

NPI: 1285699686
Entity type: Organization (Type 2)
Issued: Apr 19, 2006
Last updated: Feb 6, 2026
Status: Active

Other names

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Fairmount Primary Care Center · doing business as
Fairmount Primary Care Center · doing business as

Authorized official

Ms. Brenda Robles Cooke
President & CEO
(215) 684-5344

Verify this record

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 1285699686

Delaware Valley Community Health, Inc.'s National Provider Identifier is 1285699686, issued on Apr 19, 2006. 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 Feb 6, 2026.