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GREATER PHILADELPHIA HEALTH ACTION INC. NPI 1952356867


NPI Information

NPI: 1952356867
Provider Name: GREATER PHILADELPHIA HEALTH ACTION INC.

Doing Business As: GPHA WOODLAND AVENUE HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 39D0924217

Address:
5000 WOODLAND AVE
PHILADELPHIA, PA
ZIP 19143
Phone: (215) 726-9807
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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 1952356867. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gpha Woodland Avenue Health Center.

The provider's business location address is:

5000 WOODLAND AVE
PHILADELPHIA, PA
ZIP 19143-137
Phone: (215) 726-9807
Fax: (215) 726-0424

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 CLIA number assigned to this NPI record is 39D0924217 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/23/2006 and was last updated on 3/16/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080C0008XPediatricsChild Abuse PediatricsNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo
6176B00000XMidwifeNo
7213E00000XPodiatristNo
8261Q00000XClinic/CenterNo
9261QF0400XClinic/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
1391802MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
21001374480052MEDICAIDPENNSYLVANIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.