The Ortiz Ark Foundation

Primary specialty

Prison Health Clinic/CenterTaxonomy code 261QP2400X

Legal business name

THE ORTIZ ARK FOUNDATION

Practice address

113 N 9TH St
Allentown, PA 18102-3973

Phone

(484) 951-0921

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Jessica L Ortiz

Title

Executive Director

Phone

(484) 951-0921

Specialties & licenses 1

Addresses

Other names 1

• The Ortiz Ark Foundation Former legal business name

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1417613720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N 9TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023973",
            "telephone_number": "484-951-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N 9TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023973",
            "telephone_number": "484-951-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTIZ ARK FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "484-951-0921"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ortiz Ark Foundation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Prison Health Clinic/Center in Allentown, PA
• Providers in Allentown, PA by specialty
• Prison Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.