NPIMap

Organization Active NPI

Public Health Management Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1598156804
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PUBLIC HEALTH MANAGEMENT CORPORATION
Practice address
216 W Somerset St
Philadelphia, PA 19133-3534
Phone
(267) 765-2272
NPI assigned
Feb 9, 2015
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Mr. Frank Killian
Title
Director Finance & Regulatory Affai
Phone
(215) 985-2514

Specialties & licenses 1

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

Addresses

Primary practice location

216 W Somerset St
Philadelphia, PA 19133-3534

Mailing address

1500 Market St
LM 500 West Tower
Phila, PA 19102-2100
Phone (215) 985-2500

Other practice location 1

412 W Lehigh Ave
Phila, PA 19133-3148
Phone (215) 763-8870

Other names 1

  • Congreso Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060504000213 PA Part B Supplier - Clinic/Group Practice 1850307406 Receives reassigned benefits from 109 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA; Flourtown, PA
O20160314001823 PA Part A Provider - Federally Qualified Health Center (FQHC) 1850307406 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598156804. Details of each certification follow.

Federally qualified health center certification: CCN 391068

Legal name
PUBLIC HEALTH MANAGEMENT CORPORATION
Doing business as
PHILADELPHIA HEALTH MANAGEMENT CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 22, 2016
Last certification
Mar 22, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 26, 1972 in PA
Enrollment address
216 W Somerset St
Philadelphia, PA 19133-3534

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1025113PHMC - Congreso Health Center216 W Somerset St, Philadelphia, PA 19133Provider-performed microscopyAug 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Public Health Managment Corporation40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Locations

501 S 54th St
Fl 2
Philadelphia, PA 19143
Phone (215) 240-4820

501 S 54th St
Ste 2NW
Philadelphia, PA 19143

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patrick Eiding Individual Corporate DirectorBoard Member Jan 1, 2002
Denise H Christian Individual Corporate DirectorBoard Member Jan 1, 1991
Stephen P Fera Individual Corporate OfficerSecretary Jun 1, 2015
Corporate DirectorBoard Member Jan 1, 2007
Kenneth Braithwaite Individual Corporate DirectorBoard Member Jan 1, 2007
Kenneth J Veit Individual Corporate DirectorBoard Member Jan 1, 1988
Susan Sherman Individual Corporate DirectorBoard Member Jan 1, 2005
Kathleen Kinslow Individual Corporate OfficerTreasurer Jun 1, 2015
Corporate DirectorBoard Member Jan 1, 2012
James Oram Individual Corporate DirectorBoard Member Jun 1, 2013
Theodore a. Christopher Individual Corporate DirectorBoard Member Jan 1, 2009
Marino a Puliti Individual Operational/Managerial ControlCfo Dec 1, 2011 100%
Wendell E Pritchett Individual Corporate DirectorBoard Member Jun 1, 2015
Renee Cardwell Hughes Individual Corporate DirectorBoard Member Jan 1, 2007
Sharon M Gallagher Individual Corporate DirectorBoard Member Jan 1, 2000
Michael Pearson Individual Corporate OfficerChairperson Jun 1, 2015
Corporate DirectorBoard Member Jan 1, 2008
George E Downs Individual Corporate DirectorBoard Member Jan 1, 2005
Brenda Noel Individual Corporate DirectorDeputy Manager Director Jan 1, 2024
J Douglas Macbride Individual Corporate DirectorBoard Member Jan 1, 1977
Curtis Schroder Individual Corporate DirectorBoard Member Jan 1, 2012
Richard J Cohen Individual Corporate DirectorCeo Jan 1, 1974 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
PHMC Health Center on Cedar AvenuePhiladelphia, PA, CCN 731950 Federally qualified health center 5% Or Greater Direct Ownership Interest Jun 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1598156804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "address_2": "LM 500 WEST TOWER",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-985-2500",
            "fax_number": "267-765-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W SOMERSET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333534",
            "telephone_number": "267-765-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 W Lehigh Ave",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191333148",
            "country_code": "US",
            "telephone_number": "215-763-8870",
            "fax_number": "215-291-9153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUBLIC HEALTH MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR FINANCE & REGULATORY AFFAI",
        "authorized_official_telephone_number": "215-985-2514",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "Congreso Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.