Organization Active NPI

Delaware Valley Community Health, Inc.

Doing business as Maria de los Santos Express Care

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1326711722
Registry record updated Aug 31, 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
Maria de los Santos Express Care
Maria de los Santos Vision, Foot, and Specialty Services
Practice address
400 W Allegheny Ave BLDG 3
Philadelphia, PA 19133-3614
Phone
(215) 546-7501
Fax
(215) 546-7502
NPI assigned
Jul 30, 2021
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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

400 W Allegheny Ave BLDG 3
Philadelphia, PA 19133-3614

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1007729960033MedicaidPA

Other names 2

  • Maria de los Santos Express Care Doing business as
  • Maria de los Santos Vision, Foot, and Specialty Services 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 PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040617001033 PA Part B Supplier - Clinic/Group Practice 8426967175 Receives reassigned benefits from 108 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA
O20211004000485 PA Part A Provider - Federally Qualified Health Center (FQHC) 8426967175 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326711722. Details of each certification follow.

Federally qualified health center certification: CCN 731912

Legal name
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 2, 2021
Last certification
Sep 2, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 30, 1977 in PA
Enrollment address
400 W Allegheny Ave
BLDG 3
Philadelphia, PA 19133-3614

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 1

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

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
39D2226737Maria de Los Santos Express Care400 W Allegheny Ave, Philadelphia, PA 19133Provider-performed microscopyJun 2, 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.

Locations

1401 DeKalb St
Norristown, PA 19401
Phone (610) 275-9400

Ownership & related parties

All disclosed owners & managing parties 5

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 Employee Oct 11, 1993
Carla M Wimbush Individual Corporate OfficerCfo Aug 1, 1995
W-2 Managing EmployeeSr VP & Cfo Aug 1, 1995
Nilsa Gonzalez Individual Corporate Director Nov 1, 1993
Rick Beaton Individual Corporate Director Aug 1, 2021
William Aaronson Individual Corporate Director Apr 1, 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 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1326711722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412-22 FAIRMOUNT AVENUE",
            "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": "400 W ALLEGHENY AVE BLDG 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333614",
            "telephone_number": "215-546-7501",
            "fax_number": "215-546-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY COMMUNITY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "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": "1007729960033",
            "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": "400 W Allegheny Ave Bldg 3",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191333614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maria de los Santos Express Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maria de los Santos Vision, Foot, and Specialty Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.