NPIMap

Organization Active NPI

Public Health Management Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1124555909
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PUBLIC HEALTH MANAGEMENT CORPORATION
Practice address
4108 Parkside Ave
Philadelphia, PA 19104-1020
Phone
(215) 871-0300
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dorothy Pritchard
Title
Admin./Credentialing Coordinator
Phone
(215) 985-2595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

4108 Parkside Ave
Philadelphia, PA 19104-1020

Mailing address

1500 Market St
LM 500 West Tower Attn: D. Pritchard/SHS
Philadelphia, PA 19102-2100

Other names 1

  • PHMC at Interim House West Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Public Health Man Corp39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

4108 Parkside Ave
Philadelphia, PA 19104
Phone (215) 477-0244

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1124555909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "address_2": "LM 500 WEST TOWER ATTN: D. PRITCHARD/SHS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 PARKSIDE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041020",
            "telephone_number": "215-871-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "ADMIN./CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "215-985-2595"
    },
    "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": "PHMC at Interim House West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 2017; 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.