Organization Active NPI

City of Philadelphia

Doing business as Health Care Center 9

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1427165307
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CITY OF PHILADELPHIA
Doing business as
Health Care Center 9
Practice address
131 E Chelten Ave
Philadelphia, PA 19144-2153
Phone
(215) 685-5745
Fax
(215) 685-6848
NPI assigned
Aug 24, 2006
Last updated
Nov 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Christine Gaddy
Title
Billing Manager
Phone
(215) 685-6843

Specialties & licenses 1

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

Addresses

Primary practice location

131 E Chelten Ave
Philadelphia, PA 19144-2153

Mailing address

1101 Market St FL 10
Revenuemanagement
Philadelphia, PA 19107-2911
Phone (215) 685-5306

Other identifiers 4

IdentifierTypeStateIssuer
1000076950013MedicaidPA
G0001306MedicaidPA
00919MedicaidPA
1008122MedicaidPA

Other names 1

  • Health Care Center 9 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040220000911 PA Part B Supplier - Clinic/Group Practice 6305758723 Receives reassigned benefits from 163 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA
O20110118000682 PA Part A Provider - Federally Qualified Health Center (FQHC) 6305758723 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427165307. Details of each certification follow.

Federally qualified health center certification: CCN 391877

Legal name
CITY OF PHILADELPHIA
Doing business as
DEPARTMENT OF PUBLIC HEALTH - PHILADELPHIA DISTRICT HC #9
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 9, 1995
Last certification
Jan 9, 1995
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
131 E Chelten Ave
Philadelphia, PA 19144-2153

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Tax ID family
Health Center No 523 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

1700 S Broad St
Apt 201
Philadelphia, PA 19145
Phone (215) 685-1800

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cheryl Kramer-Sylvester Individual Corporate DirectorExecutive Director Jan 1, 2021 100%
City of Philadelphia Organization, Philadelphia, PA 5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
Angela Anhalt Individual W-2 Managing EmployeeCredentialing Specialist Mar 3, 2025
Steven Benson Individual W-2 Managing EmployeeAhs Financial Officer Dec 9, 2014

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Department of Public Health - Philadelphia District HC #2Philadelphia, PA, CCN 391872 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 5, 2015
Department of Public Health - Strawberry Mansion Health CenterPhiladelphia, PA, CCN 391879 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1985
Department of Public Health - Philadelphia District Health Center #10Philadelphia, PA, CCN 391878 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 2, 1976
Department of Public Health - Philadelphia District HC #6Philadelphia, PA, CCN 391876 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 2, 1984
Department of Public Health-Philadelphia District Health Center #4Philadelphia, PA, CCN 391874 Federally qualified health center Operational/Managerial Control Feb 24, 2011
Department of Public Health-Philadelphia District HC #5Philadelphia, PA, CCN 391875 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 2, 1980
Department of Public Health - Philadelphia District Health Center #3Philadelphia, PA, CCN 391873 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 15, 2015

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 71

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 71

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1427165307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MARKET ST FL 10",
            "address_2": "REVENUEMANAGEMENT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072911",
            "telephone_number": "215-685-5306",
            "fax_number": "215-685-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442153",
            "telephone_number": "215-685-5745",
            "fax_number": "215-685-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "GADDY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-685-6843"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000076950013",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G0001306",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00919",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008122",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Center 9",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Care Center 9",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.