Organization Active NPI

MHP Port Richmond LLC

Doing business as AFC Urgent Care

  • Urgent Care Clinic/Center
  • Conshohocken, PA
National Provider Identifier
1083454805
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MHP PORT RICHMOND LLC
Doing business as
AFC Urgent Care
Practice address
400 Fayette St Ste 180
Conshohocken, PA 19428-2186
Phone
(484) 243-6730
NPI assigned
May 29, 2024
Organization subpart
Yes
Parent organization
MERION HEALTH PARTNERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Dan Mattleman
Title
Director of Operations
Phone
(484) 293-8178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

400 Fayette St Ste 180
Conshohocken, PA 19428-2186

Mailing address

400 Fayette St Ste 180
Conshohocken, PA 19428-2186

Other names 1

  • AFC Urgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
Merion Health Partners LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1083454805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAYETTE ST STE 180",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAYETTE ST STE 180",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282186",
            "telephone_number": "484-243-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHP PORT RICHMOND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERION HEALTH PARTNERS LLC",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "MATTLEMAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "484-293-8178"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.