Organization Active NPI

Quality Community Health Care, Inc.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1508970484
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
QUALITY COMMUNITY HEALTH CARE, INC.
Practice address
2813 W Diamond St
Philadelphia, PA 19121-1207
Phone
(215) 763-4445
Fax
(215) 763-4179
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Marcella E. Lingham, ED.D.
Title
Executive Director
Phone
(215) 227-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2813 W Diamond St
Philadelphia, PA 19121-1207

Mailing address

2501 W Lehigh Ave
Philadelphia, PA 19132-3207
Phone (215) 227-0300

Other identifiers 1

IdentifierTypeStateIssuer
1007588070002MedicaidPA

Other names 1

  • Finley Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 391968

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
QCHC FINLEY FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 17, 2007
Last certification
Jan 17, 2007
Ownership / control type
For profit – corporation
Facility address
2813 West Diamond Street
Phila, PA 19121

National Provider Directory

National Provider Directory

Locations

2813 W Diamond St
Philadelphia, PA 19121
Phone (215) 763-4445

2501 W Lehigh Ave
Philadelphia, PA 19132
Phone (215) 227-0300

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1508970484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323207",
            "telephone_number": "215-227-0300",
            "fax_number": "215-227-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 W DIAMOND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191211207",
            "telephone_number": "215-763-4445",
            "fax_number": "215-763-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY COMMUNITY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "LINGHAM",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-227-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007588070002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Finley Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.