NPIMap

Organization Active NPI

Ampersand Health-PA, LLC

  • Primary Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1760865711
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AMPERSAND HEALTH-PA, LLC
Practice address
3945 Chestnut St
Second Floor
Philadelphia, PA 19104-3621
Phone
(615) 708-4487
NPI assigned
Jul 8, 2015
Organization subpart
Yes
Parent organization
AMPERSAND HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
William Bradley Rouse
Title
Evp
Phone
(615) 708-4487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3945 Chestnut St
Second Floor
Philadelphia, PA 19104-3621

Mailing address

2020 21St Ave S
Suite 202
Nashville, TN 37212-4354
Phone (615) 708-4487

Other names 1

  • CityLife Neighborhood Clinics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1760865711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 21ST AVE S",
            "address_2": "SUITE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124354",
            "telephone_number": "615-708-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 CHESTNUT ST",
            "address_2": "SECOND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043621",
            "telephone_number": "615-708-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPERSAND HEALTH-PA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMPERSAND HEALTH, LLC",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "615-708-4487"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CityLife Neighborhood Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.