Philadelphia Academy Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PHILADELPHIA ACADEMY CHARTER SCHOOL

Practice address

11000 Roosevelt Blvd
Philadelphia, PA 19116-3961

Phone

(215) 676-8320

Fax

(215) 676-8340

NPI assigned

Feb 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joann Beam

Title

Access Coordinator

Phone

(215) 676-8320

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700925369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163961",
            "telephone_number": "215-676-8320",
            "fax_number": "215-676-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163961",
            "telephone_number": "215-676-8320",
            "fax_number": "215-676-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAM",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "ACCESS COORDINATOR",
        "authorized_official_telephone_number": "215-676-8320"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017732510001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Philadelphia Ambulance (Ameriheart Ambulance)
• Philadelphia Anesthesia Group, PC
• Philadelphia Area School District
• Philadelphia Assessment & Counseling, LLC
• Philadelphia Behavioral Health Inc

• Local Education Agency (LEA) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• 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.