NPIMap

Organization Active NPI

West Philadelphia Achievement Charter School

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1497912794
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WEST PHILADELPHIA ACHIEVEMENT CHARTER SCHOOL
Practice address
6701 Callowhill St
Philadelphia, PA 19151-3603
Phone
(215) 476-6471
Fax
(215) 476-0431
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Mrs. Stacy R Gill, DO
Title
Ceo
Phone
(215) 476-6471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X PA Primary

Addresses

Primary practice location

6701 Callowhill St
Philadelphia, PA 19151-3603

Mailing address

6701 Callowhill St
Philadelphia, PA 19151-3603
Phone (215) 476-6471

Other identifiers 1

IdentifierTypeStateIssuer
1012880260001MedicaidPA

National Provider Directory

National Provider Directory

Locations

6701 Callowhill St
Philadelphia, PA 19151
Phone (215) 476-6471

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1497912794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 CALLOWHILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513603",
            "telephone_number": "215-476-6471",
            "fax_number": "215-476-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 CALLOWHILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513603",
            "telephone_number": "215-476-6471",
            "fax_number": "215-476-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PHILADELPHIA ACHIEVEMENT CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-476-6471",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012880260001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 3, 2018; 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.