NPIMap

Organization Active NPI

Chespenn Health Services

  • Federally Qualified Health Center (FQHC)
  • Coatesville, PA
National Provider Identifier
1396799417
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHESPENN HEALTH SERVICES
Practice address
744 E Lincoln Highway
Coatesville, PA 19320-3539
Phone
(610) 384-5899
Fax
(610) 384-8385
NPI assigned
May 22, 2006
Organization subpart
Yes
Parent organization
CHESPENN HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Dr. Gary Davis, M.D.
Title
President and Ceo
Phone
(610) 485-3800

Specialties & licenses 1

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

Addresses

Primary practice location

744 E Lincoln Highway
Coatesville, PA 19320-3539

Mailing address

1510 Chester Pike Ste 200
Eddystone, PA 19022-1377
Phone (610) 485-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200326000803 PA Part B Supplier - Clinic/Group Practice 5991695389 Receives reassigned benefits from 40 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chester, PA; Coatesville, PA; Upper Darby, PA

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Chespenn Health Services

Locations

1510 Chester Pike
Ste 200
Eddystone, PA 19022
Phone (610) 485-3800

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1396799417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 CHESTER PIKE STE 200",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221377",
            "telephone_number": "610-485-3800",
            "fax_number": "610-485-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E LINCOLN HIGHWAY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203539",
            "telephone_number": "610-384-5899",
            "fax_number": "610-384-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESPENN HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESPENN HEALTH SERVICES",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "610-485-3800",
        "authorized_official_name_prefix": "Dr.",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.