NPIMap

Organization Active NPI

Delaware Valley Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1811202153
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Practice address
5901 Market St
Philadelphia, PA 19139-3117
Phone
(215) 222-2466
Fax
(215) 222-2462
NPI assigned
Aug 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Ms. Brenda Robles Cooke
Title
President & Ceo
Phone
(215) 684-5344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5901 Market St
Philadelphia, PA 19139-3117

Mailing address

1412-22 Fairmount Ave
Philadelphia, PA 19130-2908
Phone (215) 684-5344

Other identifiers 1

IdentifierTypeStateIssuer
1007729960032MedicaidPA

Other names 1

  • Fairmount Primary Care Health Center at Horizon House Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dvchngrts.dvchngrts.p1@direct.dvch.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109000197 PA Part A Provider - Federally Qualified Health Center (FQHC) 8426967175 Practice locations: Philadelphia, PA

Federally qualified health center certification: CCN 391012

Legal name
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 18, 2010
Last certification
Nov 18, 2010
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 30, 1977 in PA
Enrollment address
5901 Market St
Philadelphia, PA 19139-3117

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
Philadelphia Health Ser12 organizations share this tax ID, including this one
Part of
Philadelphia Health Ser

Other organizations with this tax ID 11

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

Locations

120 S 30th St
Fl 2
Philadelphia, PA 19104
Phone (215) 222-2466

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Carmen Paris Individual Corporate Director Jul 1, 2005
Alvan Scott McNeal Individual Corporate OfficerPresident and Ceo Jan 1, 2019
W-2 Managing EmployeePresident & Ceo Oct 11, 1993
Marshall Pepper Individual Corporate Director Apr 1, 2005
Carla M Wimbush Individual Corporate OfficerSr VP & Cfo Aug 1, 1995
W-2 Managing EmployeeSr VP & Cfo Aug 1, 1995
Nilsa Gonzalez Individual Corporate Director Nov 1, 1993
William Aaronson Individual Corporate Director Apr 1, 1995

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Norristown Regional Health CenterNorristown, PA, CCN 391901 Federally qualified health center Operational/Managerial Control Oct 1, 1999
Delaware Valley Community Health, Inc.Philadelphia, PA, CCN 391113 Federally qualified health center Operational/Managerial Control Aug 30, 1977

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

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": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1811202153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412-22 FAIRMOUNT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302908",
            "telephone_number": "215-684-5344",
            "fax_number": "215-232-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393117",
            "telephone_number": "215-222-2466",
            "fax_number": "215-222-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY COMMUNITY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "ROBLES COOKE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "215-684-5344",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007729960032",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dvchngrts.dvchngrts.p1@direct.dvch.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5901 Market St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191393117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fairmount Primary Care Health Center at Horizon House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairmount Primary Care Health Center at Horizon House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.