NPIMap

Organization Active NPI

Philadelphia Health Management Corp

  • Community/Behavioral Health Agency
  • Phila, PA
National Provider Identifier
1699956854
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PHILADELPHIA HEALTH MANAGEMENT CORP
Practice address
4329 Griscom St
Phila, PA 19124-5021
Phone
(215) 731-2042
Fax
(267) 765-2380
NPI assigned
Nov 16, 2007
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Shante Pennington
Title
Billing Coordinator
Phone
(215) 731-2042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4329 Griscom St
Phila, PA 19124-5021

Mailing address

260 S Broad St
18TH Floor
Phila, PA 19102-5021
Phone (215) 731-2042

Other identifiers 1

IdentifierTypeStateIssuer
1000016640043MedicaidPA

Other names 1

  • Prise-OP Other name

National Provider Directory

National Provider Directory
Tax ID family
PHMC Care Clinic40 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

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1699956854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S BROAD ST",
            "address_2": "18TH FLOOR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191025021",
            "telephone_number": "215-731-2042",
            "fax_number": "267-765-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 GRISCOM ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191245021",
            "telephone_number": "215-731-2042",
            "fax_number": "267-765-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA HEALTH MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "215-731-2042"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000016640043",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prise-OP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.