NPIMap

Organization Active NPI

Delaware Valley Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Norristown, PA
National Provider Identifier
1174545115
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Practice address
1401 Dekalb St
Norristown, PA 19401-3405
Phone
(610) 278-7787
Fax
(610) 278-7386
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Ms. Brenda Robles Cooke
Title
President & Ceo
Phone
(215) 684-5344

Specialties & licenses 1

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

Addresses

Primary practice location

1401 Dekalb St
Norristown, PA 19401-3405

Mailing address

1412-22 Fairmount Ave
Philadelphia, PA 19130-2908
Phone (215) 684-5344

Other identifiers 1

IdentifierTypeStateIssuer
1007729960024MedicaidPA

Other names 1

  • Norristown Regional Health Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dvchngrts.dvchngrts.p1@direct.dvch.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030214000043 PA Part A Provider - Federally Qualified Health Center (FQHC) 8426967175 Practice locations: Norristown, PA

Federally qualified health center certification: CCN 391901

Legal name
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Doing business as
NORRISTOWN REGIONAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 7, 1999
Last certification
Oct 7, 1999
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Aug 10, 1977 in PA
Enrollment address
1401 Dekalb St
Norristown, PA 19401-3405
Related CCNs
391832

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0725095Norristown Regional Health Center1401 Dekalb Street, Norristown, PA 19401Provider-performed microscopyDec 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Philadelphia Health Ser12 organizations share this tax ID, including this one
Part of
Philadelphia Health Ser

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carmen Paris Individual Corporate Director Oct 1, 2013
Alvan Scott McNeal Individual Corporate OfficerCeo & President Jan 1, 2019
Corporate DirectorCeo & President Jan 1, 2019
W-2 Managing EmployeeCeo & President Jan 1, 2019
Marshall Pepper Individual Corporate Director Oct 1, 2013
Carla M Wimbush Individual Corporate OfficerSr. VP & Cfo Mar 29, 2007
Corporate DirectorSr VP & Cfo/ Board Member Aug 8, 1995
W-2 Managing Employee Aug 8, 1995
Nilsa Gonzalez Individual Corporate Director Oct 1, 2013
Delaware Valley Community Health, Inc. Organization, Philadelphia, PA Corporation, Non-profit Operational/Managerial Control Oct 1, 1999

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Delaware Valley Community Health, Inc.Philadelphia, PA, CCN 391113 Federally qualified health center Operational/Managerial Control Aug 30, 1977

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 11

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1174545115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412-22 FAIRMOUNT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302908",
            "telephone_number": "215-684-5344",
            "fax_number": "215-232-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DEKALB ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013405",
            "telephone_number": "610-278-7787",
            "fax_number": "610-278-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY COMMUNITY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "ROBLES COOKE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "215-684-5344",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007729960024",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dvchngrts.dvchngrts.p1@direct.dvch.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1401 Dekalb St",
            "city": "Norristown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194013405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Norristown Regional Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norristown Regional Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.