NPIMap

Organization Active NPI

Greater Philadelphia Health Action Incorporated

Doing business as GPHA - Liguori Academy - Fortis Health Suite

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1467063396
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER PHILADELPHIA HEALTH ACTION INCORPORATED
Doing business as
GPHA - Liguori Academy - Fortis Health Suite
Practice address
1952 E Allegheny Ave
Philadelphia, PA 19134-3122
Phone
(215) 925-2400
NPI assigned
Aug 13, 2020
Last updated
Aug 13, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER PHILADELPHIA HEALTH ACTION INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Celeste Johns
Title
Director of Reimbursement
Phone
(215) 925-2400

Specialties & licenses 1

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

Addresses

Primary practice location

1952 E Allegheny Ave
Philadelphia, PA 19134-3122

Mailing address

1401 S 31St St FL 2
Philadelphia, PA 19146-3506
Phone (215) 925-2400

Other names 1

  • GPHA - Liguori Academy - Fortis Health Suite Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greater Phila HLTH Act39 organizations share this tax ID, including this one
Part of
Greater Phila HLTH Act

Other organizations with this tax ID 38

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

View all 38

Locations

1952 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 291-8151

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1467063396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S 31ST ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463506",
            "telephone_number": "215-925-2400",
            "fax_number": "215-925-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343122",
            "telephone_number": "215-925-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER PHILADELPHIA HEALTH ACTION INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER PHILADELPHIA HEALTH ACTION INC.",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "215-925-2400"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GPHA - Liguori Academy - Fortis Health Suite",
            "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 Aug 13, 2020; 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.