NPIMap

Organization Active NPI

Greater Philadelphia Health Action Inc.

Doing business as GPHA Chinatown Medical Services

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1689620171
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER PHILADELPHIA HEALTH ACTION INC.
Doing business as
GPHA Chinatown Medical Services
Practice address
432 N. 6TH Street
Philadelphia, PA 19123-4004
Phone
(215) 627-8000
Fax
(215) 627-9265
NPI assigned
May 26, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. D Tina Smith
Title
Provider Enrollment Spec.
Phone
(215) 925-2400

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Child Abuse Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080C0008X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 names 1

  • GPHA Chinatown Medical Services Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689620171. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jul 20, 1970 in PA
Enrollment address
432 N 6TH St
Philadelphia, PA 19123-4004

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 11

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

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
39D0924146Gpha Chinatown Medical Services432 North 6TH Street, Philadelphia, PA 19123Provider-performed microscopyJun 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Greater Philadelphia Health39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Claire a Washington Individual Corporate DirectorBoard Member Mar 10, 2015
Celeste Johns Individual W-2 Managing Employee Jun 23, 2006
Janice a Smith Individual Corporate DirectorBoard Member Mar 10, 2015
Ashley a Hines Individual Corporate DirectorBoard Member Mar 10, 2015
Roger C Collins Individual Corporate Director Mar 10, 2015
Stephen R Cox Individual Corporate DirectorBoard Member /Second Vice Chairpers Mar 10, 2015
Royal E Brown Individual Corporate DirectorBoard Member/Chairperson Mar 10, 2015
Brian Clark Individual Corporate OfficerCeo/Executive Director Jan 1, 2018
W-2 Managing EmployeeCeo/Executive Director Jan 1, 2018
Sandra Hawkins-Dorsey Individual Corporate DirectorBoard Member Mar 10, 2015
Flora M Castillo Individual Corporate DirectorBoard Member Mar 10, 2015
Linda W Powell Individual Corporate DirectorBoard Member/First Vice Chairper Mar 10, 2015
Phyllis H Detwiler Individual Corporate DirectorBoard Member Mar 10, 2015
Ann L Colley Individual Corporate DirectorBoard Member May 8, 2017
Paula D Jackson Individual Corporate DirectorBoard Member/Corporate Secretary Mar 10, 2015

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 11

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689620171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S. 31ST STREET",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463506",
            "telephone_number": "215-925-2400",
            "fax_number": "215-925-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 N. 6TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234004",
            "telephone_number": "215-627-8000",
            "fax_number": "215-627-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER PHILADELPHIA HEALTH ACTION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "TINA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPEC.",
        "authorized_official_telephone_number": "215-925-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GPHA Chinatown Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.