Active NPI
Quality Community Health Care, Inc.
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1508970484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007588070002 | Medicaid | PA |
Other names 1
- Finley Family Health Center
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 DirectoryLocations
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
- Quality Care
- Quality Care Coordination LLC
- Quality Care for You Home Care, LLC
- Quality Caring Hearts Homecare LLC
- Quality Community Health Care, Inc
- Quality Community Health Care, Inc.
- Quality Community Health Care, Inc.
- Quality Community Health Care, Inc.
- Quality Community Health Care, Inc.
- Quality Community Health Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.