Active NPI
Sto-Rox Neighborhood Health Council, Inc.
- Federally Qualified Health Center (FQHC)
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- STO-ROX NEIGHBORHOOD HEALTH COUNCIL, INC.
- Practice address
- 317 Climax Street
Pittsburgh, PA 15210 - Phone
- (413) 431-3520
- Fax
- (412) 431-3525
- NPI assigned
- Jul 15, 2006
- Last updated
- Aug 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gail Lager
- Title
- Cfo
- Phone
- (412) 771-6462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
317 Climax Street
Pittsburgh, PA 15210
Mailing address
317 Climax Street
Pittsburgh, PA 15210
Phone (413) 431-3520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007778110007 | Medicaid | PA |
Other names 1
- Hilltop Community Healthcare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407873847. Details of each certification follow.
Federally qualified health center certification: CCN 391938
- Legal name
- STO-ROX NEIGHBORHOOD HEALTH COUNCIL, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- May 5, 2004
- Last certification
- May 5, 2004
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Sep 23, 1971 in PA
- Enrollment address
- 151 Ruth St
Pittsburgh, PA 15211-2384 - Related CCNs
- 391816
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Federally Qualified Health Center (FQHC)
- McKees Rocks, PA
- NPI 1154354553
Related provider number
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Pittsburgh, PA
- NPI 1114339371
O20040413000399, O20101019001530
-
- Federally Qualified Health Center (FQHC)
- McKees Rocks, PA
- NPI 1154354553
O20040413000399
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adrienne Roberts | Corporate Director | Aug 31, 2020 | |
| Peter Ennis | Corporate Director | Apr 1, 2020 | |
| Emelda Brown | Corporate Director | Nov 24, 2015 | |
| Aimee Mangham | Corporate Director | Aug 31, 2023 | |
| Terri Clemons Clark | W-2 Managing Employee | Aug 2, 2020 | |
| Operational/Managerial Control | Apr 1, 2020 | ||
| Brian Bayer | Corporate Director | Jul 1, 2020 | |
| Shelly Duncan | W-2 Managing Employee | Jan 1, 2024 | |
| Vince Tarquinio | Corporate Officer | Apr 1, 2020 | |
| Marcy a Nordick | Corporate Director | Aug 10, 2010 | |
| Joan Delie | Corporate Director | Jan 23, 2018 | |
| Jonathan Backers | Corporate Director | Jun 30, 2023 | |
| Lorrie Meneely | Corporate Officer | May 4, 2020 | |
| Operational/Managerial Control | Apr 1, 2020 | ||
| Rain McCoy | Corporate Director | Aug 31, 2023 | |
| Fran Hogan | Corporate Director | Apr 1, 2020 | |
| Stormie Parsons | Corporate Director | Jun 30, 2023 |
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Pediatrics Physician
- Allison Park, PA
- NPI 1336193036
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1093805137
-
- Family Medicine Physician
- Delhi, NY
- NPI 1427042571
-
- Nurse Practitioner
- North Haven, ME
- NPI 1326155862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1407873847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 CLIMAX STREET",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15210",
"telephone_number": "413-431-3520",
"fax_number": "412-431-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 CLIMAX STREET",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15210",
"telephone_number": "413-431-3520",
"fax_number": "412-431-3525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STO-ROX NEIGHBORHOOD HEALTH COUNCIL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "LAGER",
"authorized_official_first_name": "GAIL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "412-771-6462"
},
"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": "1007778110007",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hilltop Community Healthcare Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.