NPIMap

Organization Active NPI

Wallingford Swarthmore SD

  • Student Health Clinic/Center
  • Wallingford, PA
National Provider Identifier
1700841780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
WALLINGFORD SWARTHMORE SD
Practice address
200 South Providence Rd
Wallingford, PA 19086-3817
Phone
(610) 892-3470
Fax
(610) 480-3827
NPI assigned
Apr 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ron Vanlangeveld
Title
Director of Pupil Services
Phone
(610) 892-3470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

200 South Providence Rd
Wallingford, PA 19086-3817

Mailing address

200 South Providence Rd
Wallingford, PA 19086-3817
Phone (610) 892-3470

Other identifiers 1

IdentifierTypeStateIssuer
0014520200001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Wallingford Swarthmore SD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700841780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH PROVIDENCE RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190863817",
            "telephone_number": "610-892-3470",
            "fax_number": "610-480-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH PROVIDENCE RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190863817",
            "telephone_number": "610-892-3470",
            "fax_number": "610-480-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLINGFORD SWARTHMORE SD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANLANGEVELD",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "DIRECTOR OF PUPIL SERVICES",
        "authorized_official_telephone_number": "610-892-3470",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014520200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.