NPIMap

Organization Active NPI

Spectrum Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1881629012
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
Philadelphia, PA 19121-4996
Phone
(215) 471-2761
Fax
(215) 689-4236
NPI assigned
Jul 12, 2006
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
Philadelphia, PA 19121-4996

Mailing address

5201 Haverford Ave
Spectrum Health Services, Inc
Philadelphia, PA 19139-1401
Phone (215) 471-2761

Other identifiers 2

IdentifierTypeStateIssuer
091173OtherHIGHMARK BLUE SHIELD
1007288260005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050211000334 PA Part B Supplier - Clinic/Group Practice 0840242467 Receives reassigned benefits from 34 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA
O20100929000108 PA Part A Provider - Federally Qualified Health Center (FQHC) 0840242467 Practice locations: Philadelphia, PA

Federally qualified health center certification: CCN 391883

Legal name
SPECTRUM HEALTH SERVICES INC
Doing business as
SPECTRUM COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 18, 1995
Last certification
Oct 18, 1995
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Enrollment address
2300 W Master St
FL 1
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).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Health Services Inc8 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
Philadelphia, PA 19121
Phone (267) 687-1172

1325 S 33rd St
Philadelphia, PA 19146

1415 N Broad St
Ste 222
Philadelphia, PA 19122

Ownership & related parties

All disclosed owners & managing parties 5

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 8, 2019
Karen L Graves Individual W-2 Managing EmployeeChief Financial Officer Aug 16, 2023
Frederick Kinglee Individual Corporate DirectorBoard Chair Jul 10, 2018
Samuel Osirim Individual Corporate DirectorBoard Member Sep 1, 2022
Zipporah Ridley Individual Corporate DirectorVice Chair Nov 12, 2019

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.

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1881629012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 HAVERFORD AVE",
            "address_2": "SPECTRUM HEALTH SERVICES, INC",
            "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",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214996",
            "telephone_number": "215-471-2761",
            "fax_number": "215-689-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "091173",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288260005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.