GREATER PHILADELPHIA HEALTH ACTION INC NPI 1144274077

NPI Information

NPI: 1144274077
Provider Name: GREATER PHILADELPHIA HEALTH ACTION, INC

Doing Business As: GPHA 4TH STREET MEDICAL SUITE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1401 S. 4TH STREET
4TH FLOOR
PHILADELPHIA, PA
ZIP 19147
Phone: (215) 339-1079
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GREATER PHILADELPHIA HEALTH ACTION, INC is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. GREATER PHILADELPHIA HEALTH ACTION, INC NPI is 1144274077. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gpha 4th Street Medical Suite.

The provider's business location address is:

1401 S. 4TH STREET
4TH FLOOR
PHILADELPHIA, PA
ZIP 19147-948
Phone: (215) 339-1079
Fax: (215) 952-6966

The provider's authorized official is D Tina Smith .
The authorized official title is Provider Enrollment Spec. and has the following contact phone number (215) 925-2400.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 3/15/2017.

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	Primary
1	101Y00000X	Counselor		No
2	103T00000X	Psychologist		No
3	104100000X	Social Worker		No
4	2084P0800X	Psychiatry & Neurology	Psychiatry	No
5	207Q00000X	Family Medicine		No
6	207R00000X	Internal Medicine		No
7	207V00000X	Obstetrics & Gynecology		No
8	208000000X	Pediatrics		No
9	213E00000X	Podiatrist		No
10	176B00000X	Midwife		No
11	2080C0008X	Pediatrics	Child Abuse Pediatrics	No
12	261Q00000X	Clinic/Center		No
13	261QF0400X	Clinic/Center	Federally 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
1	391935	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	1001374480022	MEDICAID	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

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