NPIMap

Organization Active NPI

Spectrum Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1851271274
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SPECTRUM HEALTH SERVICES INC
Practice address
2300 W Master St FL 4
Philadelphia, PA 19121-4996
Phone
(215) 471-2761
Fax
(215) 472-6093
NPI assigned
Sep 5, 2025
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Veronica Hill-Milbourne
Title
President and Ceo
Phone
(215) 471-1267

Specialties & licenses 1

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

Addresses

Primary practice location

2300 W Master St FL 4
Philadelphia, PA 19121-4996

Mailing address

5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone (215) 471-2761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260421000618 PA Part A Provider - Federally Qualified Health Center (FQHC) 0840242467 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851271274. Details of each certification follow.

Federally qualified health center certification: CCN D31065

Legal name
SPECTRUM HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 13, 2026
Last certification
Apr 13, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2300 W Master St
FL 4
Philadelphia, PA 19121-4996

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Health Service8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2300 W Master St
Fl 4
Philadelphia, PA 19121

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Veronica Hill-Milbourne Individual Corporate OfficerPresident & Ceo Jul 12, 2019
W-2 Managing EmployeePresident & Ceo Jul 12, 2019
Gabriel Sambo Individual Corporate Officer Jul 28, 2025
W-2 Managing EmployeeChief Financial Officer Jul 28, 2025

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Spectrum Health Services IncPhiladelphia, PA, CCN 731012 Federally qualified health center Operational/Managerial Control Sep 19, 2022

Owned or controlled facilities with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1851271274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 HAVERFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391401",
            "telephone_number": "215-471-2761",
            "fax_number": "215-472-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MASTER ST FL 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214996",
            "telephone_number": "215-471-2761",
            "fax_number": "215-472-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "HILL-MILBOURNE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "215-471-1267"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.