Organization Active NPI

Courage Medicine Health Center Inc.

  • Multi-Specialty Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1841845369
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COURAGE MEDICINE HEALTH CENTER INC.
Practice address
7198 Castor Ave Ste 200
Philadelphia, PA 19149-1105
Phone
(267) 217-3217
Fax
(267) 459-8942
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Trisha L Acri, MDNPI 1467497123
Title
Medical Director
Phone
(267) 217-3217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7198 Castor Ave Ste 200
Philadelphia, PA 19149-1105

Mailing address

7198 Castor Ave
Philadelphia, PA 19149-1105
Phone (267) 217-3217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191226001292 PA Part B Supplier - Clinic/Group Practice 8820422942 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2244158Courage Medicine Health Center7198 Castor Avenue, Suite 200, Philadelphia, PA 19149Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

Locations

7198 Castor Ave
Philadelphia, PA 19149
Phone (215) 385-5031

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19974/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1841845369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7198 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491105",
            "telephone_number": "267-217-3217",
            "fax_number": "267-459-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7198 CASTOR AVE STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491105",
            "telephone_number": "267-217-3217",
            "fax_number": "267-459-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE MEDICINE HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "ACRI",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "267-217-3217",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.