Greater Philadelphia Health Action Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Philadelphia, PA
NPI 1689620171 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1689620171
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- GREATER PHILADELPHIA HEALTH ACTION INC.
- Practice address
- 432 N. 6TH Street
Philadelphia, PA 19123-4004 - Phone
- (215) 627-8000
- Fax
- (215) 627-9265
- NPI assigned
- May 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. D Tina Smith
- Title
- Provider Enrollment Spec.
- Phone
- (215) 925-2400
Owners & managing parties with NPI records 1
-
Paula Deaun Jackson, CRNP
Other NPIs on the same Medicare enrollment 11
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 38
Practitioners 74
-
Abdulkarim Hanna Aslo, M.D.
-
PO Chu Kathy Leung, PA-C
-
Jacqueline Huang Ly, APRN
-
Srinivas Morampudi, M.D.
-
Evan Thurston Thompson, PMHNP-BC
-
Lei O Zhang, M.D.
-
Shira Adina Kamm Alberts, CRNP
-
Emily Anderson, CRNP
-
Arielle Michele Bell, CNM
-
Jayne Henderson Brown, M.D.
-
Elena Carianna, WHNP, B-C
-
Sharon Lucia Chen, DNP, MS, FNP-BC
-
Benjamin Frank Cocchiaro, M.D., M.P.H.
-
Akaycia Yvonne Curry, LPC
-
Sharonn Celeste Daniels-Archie, FNP-BC
-
Dana Lynn Davis, LCSW
-
Josephine Monique Edge, LMFT
-
Yahaya Ehigie Enakhimion, MSN, CRNP, FNP-C
-
Alea Gloria Frazier, LPC
-
Ramon Arturo Gadea, M.D.
-
Erin Obrien Garcia, LCSW
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0924146 | Gpha Chinatown Medical Services | Provider-performed microscopy | Jun 13, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Federally qualified health center certification: CCN 391961
- Legal name
- GREATER PHILADELPHIA HEALTH ACTION INC
- Doing business as
- GPHA - CHINATOWN MEDICAL SERVICES
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 18, 2006
- Last certification
- Aug 18, 2006
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 20, 1970 in PA
- Enrollment address
- 432 N 6TH St
Philadelphia, PA 19123-4004
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Claire a Washington |
Corporate Director |
Mar 10, 2015 | |
| Celeste Johns |
W-2 Managing Employee | Jun 23, 2006 | |
| Janice a Smith |
Corporate Director |
Mar 10, 2015 | |
| Ashley a Hines |
Corporate Director |
Mar 10, 2015 | |
| Roger C Collins |
Corporate Director | Mar 10, 2015 | |
| Stephen R Cox |
Corporate Director |
Mar 10, 2015 | |
| Royal E Brown |
Corporate Director |
Mar 10, 2015 | |
| Brian Clark |
Corporate Officer |
Jan 1, 2018 | |
| W-2 Managing Employee |
Jan 1, 2018 | ||
| Sandra Hawkins-Dorsey |
Corporate Director |
Mar 10, 2015 | |
| Flora M Castillo |
Corporate Director |
Mar 10, 2015 | |
| Linda W Powell |
Corporate Director |
Mar 10, 2015 | |
| Phyllis H Detwiler |
Corporate Director |
Mar 10, 2015 | |
| Ann L Colley |
Corporate Director |
May 8, 2017 | |
| Paula D Jackson |
Corporate Director |
Mar 10, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060721000235 | PA | Part a Provider - Federally Qualified Health Center (FQHC) | 9537064977 | Practice locations: Philadelphia, PA |
| O20110602000389 | PA | Part B Supplier - Clinic/Group Practice | 9537064977 |
Receives reassigned benefits from 242 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Springfield, PA; Philadelphia, PA |
National Provider Directory
- Tax ID family
- Wilson Park Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| Child Abuse Pediatrics Physician |
2080C0008X | |||
| Podiatrist |
213E00000X | |||
| Clinic/Center | 261Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
432 N. 6TH Street
Philadelphia, PA 19123-4004
Mailing address
1401 S. 31St Street
2ND Floor
Philadelphia, PA 19146-3506
Phone (215) 925-2400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001374480016 | Medicaid | PA |
Other names
- GPHA Chinatown Medical Services
Other providers in Philadelphia, PA
- Greater Philadelphia Health Action Inc.
- Greater Philadelphia Health Action Inc.
- Greater Philadelphia Health Action Inc.
- Greater Philadelphia Health Action Inc.
- Greater Philadelphia Health Action Inc.
- Greater Philadelphia Health Action Inc.
- Greater Philadelphia Health Action Inc.
- Greater Philadelphia Health Action Inc.
- Greater Philadelphia Health Action Inc.
- Greater Philadelphia Health Action Inc.
All providers in Philadelphia, PA · Federally Qualified Health Center (FQHC) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.