Delaware Valley Community Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

DELAWARE VALLEY COMMUNITY HEALTH, INC.

Practice address

1600 W Girard Ave
Suite 201
Philadelphia, PA 19130-1615

Phone

(215) 827-8010

Fax

(215) 765-2191

NPI assigned

Feb 10, 2011

Organization subpart

Yes

Parent organization

DELAWARE VALLEY COMMUNITY HEALTH, INC.As reported in NPPES

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

Authorized official

Name

Ms. Patricia Deitch

Title

President & Chief Executive Officer

Phone

(215) 235-9600

Specialties & licenses 1

Addresses

Other names 1

• Fairmount Primary Care Center at St. Joseph's Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 390132

Legal name

ST JOSEPH'S HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Mar 31, 2016

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Nov 29, 2005

Beds

146 (120 certified)

Ownership / control type

Private (not for profit)

Facility address

1600 West Girard Avenue
Philadelphia, PA 19130

Part of

Philadelphia Health Ser

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1073819967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 FAIRMOUNT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302908",
            "telephone_number": "215-599-4851",
            "fax_number": "215-232-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W GIRARD AVE",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301615",
            "telephone_number": "215-827-8010",
            "fax_number": "215-765-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY COMMUNITY HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELAWARE VALLEY COMMUNITY HEALTH, INC.",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "DEITCH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-235-9600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairmount Primary Care Center at St. Joseph's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Halas Delash, PHARMD
• Delaware Bay Uscg Phcy
• Delaware County Professional Services
• Delaware Valley Charter High School
• Delaware Valley Community Health Inc
• Delaware Valley Community Health, Inc.
• Delaware Valley Community Health, Inc.
• Delaware Valley Community Health, Inc.
• Delaware Valley Community Health, Inc.
• Delaware Valley Community Health, Inc.

• Federally Qualified Health Center (FQHC) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Federally Qualified Health Center (FQHC) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.