NPIMap

Organization Active NPI

Malvern Community Health Services Inc.

  • Clinic/Center
  • Blue Bell, PA
National Provider Identifier
1508921198
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
212730 Issued in PA
Legal business name
MALVERN COMMUNITY HEALTH SERVICES INC.
Practice address
512 Township Line Rd Ste 115
Blue Bell, PA 19422-2700
Phone
(610) 941-3391
Fax
(610) 941-3391
NPI assigned
Dec 26, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Mr. Christian Owen
Title
Senior VP, Finance
Phone
(610) 941-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 212730 PA Primary

Addresses

Primary practice location

512 Township Line Rd Ste 115
Blue Bell, PA 19422-2700

Mailing address

512 Township Line Rd Ste 115
Blue Bell, PA 19422-2700
Phone (610) 941-3391

Other identifiers 1

IdentifierTypeStateIssuer
1007742570014MedicaidPA

National Provider Directory

National Provider Directory

Locations

512 Township Line Rd
Ste 115
Blue Bell, PA 19422
Phone (610) 941-3391

521 Plymouth Rd
Plymouth Mtng, PA 19462
Phone (610) 941-3390

144 N 6th St
Reading, PA 19601
Phone (610) 375-7454

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1508921198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 TOWNSHIP LINE RD STE 115",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222700",
            "telephone_number": "610-941-3391",
            "fax_number": "610-941-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 TOWNSHIP LINE RD STE 115",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222700",
            "telephone_number": "610-941-3391",
            "fax_number": "610-941-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALVERN COMMUNITY HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "SENIOR VP, FINANCE",
        "authorized_official_telephone_number": "610-941-3390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "212730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007742570014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.