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DELAWARE VALLEY COMMUNITY HEALTH INC. NPI 1386864502


NPI Information

NPI: 1386864502
Provider Name: DELAWARE VALLEY COMMUNITY HEALTH, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1412 FAIRMOUNT AVE
PHILADELPHIA, PA
ZIP 19130
Phone: (215) 684-5344
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DELAWARE VALLEY COMMUNITY HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. DELAWARE VALLEY COMMUNITY HEALTH, INC. NPI is 1386864502. The provider is registered as an organization entity type.

The provider's business location address is:

1412 FAIRMOUNT AVE
PHILADELPHIA, PA
ZIP 19130-908
Phone: (215) 684-5344
Fax: (215) 232-4093

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 enumeration date for this NPI number is 4/27/2007 and was last updated on 12/12/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100772996MEDICAIDPENNSYLVANIA

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

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