NPIMap

Organization Active NPI

East Liberty Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
National Provider Identifier
1669709655
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EAST LIBERTY FAMILY HEALTH CARE CENTER, INC.
Practice address
807 Wallace Ave
Pittsburgh, PA 15221-2312
Phone
(412) 345-7730
Fax
(412) 242-0602
NPI assigned
Nov 11, 2009
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Mr. Rodney Jones Sr.
Title
Ceo
Phone
(412) 362-6353

Specialties & licenses 1

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

Addresses

Primary practice location

807 Wallace Ave
Pittsburgh, PA 15221-2312

Mailing address

6023 Harvard SQ
Pittsburgh, PA 15206-3053
Phone (412) 361-8284

Other identifiers 1

IdentifierTypeStateIssuer
1007524920015MedicaidPA

Other names 1

  • East Liberty Family Health Care Center Other name

National Provider Directory

National Provider Directory
Tax ID family
East Liberty Fam HLTH C4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1669709655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 HARVARD SQ",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063053",
            "telephone_number": "412-361-8284",
            "fax_number": "412-361-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 WALLACE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212312",
            "telephone_number": "412-345-7730",
            "fax_number": "412-242-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LIBERTY FAMILY HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-362-6353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007524920015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Liberty Family Health Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.