NPIMap

Organization Active NPI

Philadelphia Health & Education Corporation

Doing business as Drexel Convenient Care Center

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1376871632
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PHILADELPHIA HEALTH & EDUCATION CORPORATION
Doing business as
Drexel Convenient Care Center
Practice address
1625 Chestnut St
The Shops at Liberty Place - Space 172
Philadelphia, PA 19103-4206
Phone
(215) 255-7766
Fax
(215) 255-7825
NPI assigned
Nov 25, 2009
Last updated
Apr 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Lou Meindl
Title
Exec. Director of Finance
Phone
(215) 762-1321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X PA Primary

Addresses

Primary practice location

1625 Chestnut St
The Shops at Liberty Place - Space 172
Philadelphia, PA 19103-4206

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822

Other names 1

  • Drexel Convenient Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1376871632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021321",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 CHESTNUT ST",
            "address_2": "THE SHOPS AT LIBERTY PLACE - SPACE 172",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034206",
            "telephone_number": "215-255-7766",
            "fax_number": "215-255-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA HEALTH & EDUCATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "MEINDL",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "EXEC. DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "215-762-1321"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drexel Convenient Care Center",
            "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 Apr 14, 2014; 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.