NPIMap

Organization Active NPI

Public Health Managment Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1467066977
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PUBLIC HEALTH MANAGMENT CORPORATION
Practice address
1200 Callowhill St
Philadelphia, PA 19123-3658
Phone
(215) 825-8220
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Dinetta Armstrong
Title
Managing Director
Phone
(215) 985-2553

Specialties & licenses 1

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

Addresses

Primary practice location

1200 Callowhill St
Philadelphia, PA 19123-3658

Mailing address

1500 Market St
Centre Square East
Philadelphia, PA 19102-2100
Phone (215) 731-2406

Other practice location 1

125 S 9th St
Philadelphia, PA 19107-5125
Phone (215) 592-4500

Other practice location 2

1900 N 9th St
Philadelphia, PA 19122-2024
Phone (215) 765-6690

Other practice location 3

5675 N Front St
Philadelphia, PA 19120-2719
Phone (215) 279-9666

Other practice location 4

412 W Lehigh Ave
Philadelphia, PA 19133-3148
Phone (267) 765-2272

Other names 1

  • Center Of Excellence Other name

National Provider Directory

National Provider Directory
Tax ID family
Public Health Man Corp39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Locations

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

1200 Callowhill St
Philadelphia, PA 19123
Phone (215) 825-8220

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1467066977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "address_2": "CENTRE SQUARE EAST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-731-2406",
            "fax_number": "267-765-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233658",
            "telephone_number": "215-825-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075125",
            "country_code": "US",
            "telephone_number": "215-592-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191222024",
            "country_code": "US",
            "telephone_number": "215-765-6690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5675 N Front St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191202719",
            "country_code": "US",
            "telephone_number": "215-279-9666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 W Lehigh Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191333148",
            "country_code": "US",
            "telephone_number": "267-765-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUBLIC HEALTH MANAGMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "DINETTA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "215-985-2553"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Of Excellence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 2, 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.