NPIMap

Organization Active NPI

East Liberty Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
National Provider Identifier
1184615577
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EAST LIBERTY FAMILY HEALTH CARE CENTER, INC.
Practice address
7171 Churchland St
Pittsburgh, PA 15206-1217
Phone
(412) 361-8284
Fax
(412) 361-8268
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Rodney Jones Sr., M.D.
Title
Executive Director
Phone
(412) 362-6353

Specialties & licenses 1

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

Addresses

Primary practice location

7171 Churchland St
Pittsburgh, PA 15206-1217

Mailing address

7171 Churchland St
Pittsburgh, PA 15206-1217
Phone (412) 361-8284

Other identifiers 1

IdentifierTypeStateIssuer
1007524920002MedicaidPA

Other names 1

  • Lincoln-Lemington Family Health Care Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000501 PA Part B Supplier - Clinic/Group Practice 2163496084 Receives reassigned benefits from 56 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pittsburgh, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184615577. Details of each certification follow.

  • CCN 391899 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 391899

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LINCOLN LEMINGTON FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 26, 1999
Last certification
May 26, 1999
Ownership / control type
For profit – individual
Facility address
7171 Churchland Street
Pittsburgh, PA 15206
Related CCNs
391871

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

7157 Mary Peck Bond Pl
Pittsburgh, PA 15206
Phone (412) 345-0412

6023 Harvard St
Ste 2
Pittsburgh, PA 15206

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1184615577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 CHURCHLAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061217",
            "telephone_number": "412-361-8284",
            "fax_number": "412-361-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CHURCHLAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061217",
            "telephone_number": "412-361-8284",
            "fax_number": "412-361-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LIBERTY FAMILY HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-362-6353",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "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": "1007524920002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln-Lemington Family Health Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.