NPIMap

Organization Active NPI

Delaware Valley Community Health, Inc.

Doing business as Fairmount Primary Care Center at Sharon Hill-Delaware County

  • Federally Qualified Health Center (FQHC)
  • Sharon Hill, PA
National Provider Identifier
1295279644
Registry record updated Feb 10, 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.
Doing business as
Fairmount Primary Care Center at Sharon Hill-Delaware County
Practice address
800 Chester Pike
Sharon Hill, PA 19079-1400
Phone
(610) 278-7381
Fax
(610) 237-7428
NPI assigned
Dec 5, 2016
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 NU Primary

Addresses

Primary practice location

800 Chester Pike
Sharon Hill, PA 19079-1400

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1007729960029MedicaidPA

Other names 1

  • Fairmount Primary Care Center at Sharon Hill-Delaware County 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
O20170124000002 PA Part A Provider - Federally Qualified Health Center (FQHC) 8426967175 Practice locations: Sharon Hill, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295279644. Details of each certification follow.

Federally qualified health center certification: CCN 391084

Legal name
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 24, 2017
Last certification
Jan 24, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 30, 1977 in PA
Enrollment address
800 Chester Pike
Sharon Hill, PA 19079-1400

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
39D2124819Fairmount Primary Ctr at Sharon Hill Delaware Cty800 Chester Pike, Sharon Hill, PA 19079Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Philadelphia HLTH Serv12 organizations share this tax ID, including this one

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 2

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

NameRoleSinceShare
Alvan Scott McNeal Individual Corporate OfficerPresident & Ceo Jan 1, 2019
W-2 Managing EmployeePresident & Ceo Oct 11, 1993
Carla M Wimbush Individual Corporate OfficerSr VP & Cfo Aug 7, 1995
W-2 Managing EmployeeSr VP & Cfo Aug 7, 1995

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Norristown Regional Health CenterNorristown, PA, CCN 391901 Federally qualified health center Operational/Managerial Control Oct 1, 1999
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 2

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

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1295279644",
    "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": "800 CHESTER PIKE",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190791400",
            "telephone_number": "610-278-7381",
            "fax_number": "610-237-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY COMMUNITY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007729960029",
            "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": "800 Chester Pike",
            "city": "Sharon Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190791400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fairmount Primary Care Center at Sharon Hill-Delaware County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairmount Primary Care Center at Sharon Hill-Delaware County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sharon Hill, PA

Sources for this page

Verify at the official NPI Registry.