NPIMap

Organization Active NPI

Mi Salud Wellness Center

  • Community Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1003530148
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
MI SALUD WELLNESS CENTER
Practice address
200 E. Wyoming Ave.
Philadelphia, PA 19120-4411
Phone
(215) 220-4421
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keila CaneteNPI 1912621855
Title
President
Phone
(215) 220-4421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Community Health Clinic/Center 261QC1500X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

200 E. Wyoming Ave.
Philadelphia, PA 19120-4411

Mailing address

200 E. Wyoming Ave.
Philadelphia, PA 19120-4411
Phone (215) 220-4421

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1003530148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E. WYOMING AVE.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204411",
            "telephone_number": "215-220-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E. WYOMING AVE.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204411",
            "telephone_number": "215-220-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI SALUD WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "CANETE",
        "authorized_official_first_name": "KEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-220-4421"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.