NPIMap

Organization Active NPI

Public Health Management Corporation

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1881779866
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PUBLIC HEALTH MANAGEMENT CORPORATION
Practice address
1500 Market St
LM-500 West Tower
Philadelphia, PA 19102-2100
Phone
(215) 985-2514
Fax
(267) 765-2325
NPI assigned
Oct 26, 2006
Last updated
Dec 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Frank Killian
Title
Dir. of Finance and Reg. Affairs
Phone
(215) 985-2514

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1500 Market St
LM-500 West Tower
Philadelphia, PA 19102-2100

Mailing address

1500 Market St
LM-500 West Tower
Philadelphia, PA 19102-2100
Phone (215) 985-2514

Other names 1

  • Public Health Management Corporation Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20060306000665 PA Part A Provider - Federally Qualified Health Center (FQHC) 1850307406 Practice locations: Philadelphia, PA
O20060307000796 PA Part A Provider - Federally Qualified Health Center (FQHC) 1850307406 1 other NPI on this enrollment
Practice locations: Philadelphia, PA
O20060504000213 PA Part B Supplier - Clinic/Group Practice 1850307406 Receives reassigned benefits from 109 practitioners
17 other NPIs on this enrollment
Practice locations: Philadelphia, PA; Flourtown, PA
O20061031000412 PA Part A Provider - Federally Qualified Health Center (FQHC) 1850307406 1 other NPI on this enrollment
Practice locations: Philadelphia, PA
O20090430000597 PA Part A Provider - Federally Qualified Health Center (FQHC) 1850307406 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1881779866. Details of each certification follow.

Federally qualified health center certification: CCN 391953

Legal name
PUBLIC HEALTH MANAGEMENT CORPORATION
Doing business as
PHILADELPHIA HEALTH MANAGEMENT CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 7, 2006
Last certification
Apr 7, 2006
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 26, 1972 in PA
Enrollment address
125S 9TH St
Philadelphia, PA 19107-5125

Federally qualified health center certification: CCN 391954

Legal name
PUBLIC HEALTH MANAGEMENT CORPORATION
Doing business as
PHILADELPHIA HEALTH MANAGEMENT CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 7, 2006
Last certification
Apr 7, 2006
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 26, 1972 in PA
Enrollment address
5675 N Front St
Philadelphia, PA 19120-2719

Federally qualified health center certification: CCN 391965

Legal name
PUBLIC HEALTH MANAGEMENT CORPORATION
Doing business as
PHILADELPHIA HEALTH MANAGEMENT CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 9, 2007
Last certification
Jan 9, 2007
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 26, 1972 in PA
Enrollment address
1900N 9TH St
Philadelphia, PA 19122-2024

Federally qualified health center certification: CCN 391989

Legal name
PUBLIC HEALTH MANAGEMENT CORPORATION
Doing business as
PHILADELPHIA HEALTH MANAGEMENT CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 12, 2009
Last certification
Jun 12, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 26, 1972 in PA
Enrollment address
1200 Callowhill St
Ste 101
Philadelphia, PA 19123-3658

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory

Locations

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Patrick Eiding Individual Corporate DirectorBoard Member Jan 1, 2002 5%
Corporate Director Mar 7, 2006
Corporate Director Oct 16, 2006
Denise H Christian Individual Corporate DirectorChairperson Jan 1, 1991 5%
Corporate Director Jan 1, 1991
Corporate Director Oct 16, 2006
Stephen P Fera Individual Corporate DirectorBoard Member Jan 1, 2007 5%
Corporate OfficerSecretary Jun 1, 2015
Corporate DirectorBoard Member Jan 1, 2007
Corporate DirectorBoard Member Jun 1, 2007
Michele Volpe Individual Corporate DirectorBoard Member Jan 1, 2011 5%
Kenneth Braithwaite Individual Corporate DirectorBoard Member Jan 1, 2007 5%
Corporate DirectorBoard Member Jan 1, 2007
Corporate Director Jun 1, 2007
Kenneth J Veit Individual Corporate DirectorBoard Member Jan 1, 1988 5%
Corporate Director Mar 7, 2006
Corporate Director Oct 16, 2006
Susan Sherman Individual Corporate DirectorBoard Member Jan 1, 2005 5%
Corporate Director Aug 17, 2010
Corporate Director Oct 16, 2006
Corporate DirectorBoard Members Jan 1, 2005 5%
Dorothy P Mann Individual Corporate DirectorBoard Member Jan 1, 1983 5%
Corporate Director Mar 7, 2006
Corporate Director Oct 16, 2006
Kathleen Kinslow Individual Corporate DirectorBoard Member Jan 1, 2012 5%
Corporate OfficerTreasurer Jun 1, 2015
Corporate DirectorBoard Member Jan 1, 2012
Corporate Director Jan 1, 2024
Theodore a. Christopher Individual Corporate DirectorBoard Member Jan 1, 2009 5%
Corporate DirectorBoard Member Jan 1, 2009
Corporate Director Jun 1, 2009
Marino a Puliti Individual Operational/Managerial ControlCfo Dec 1, 2011 100%
W-2 Managing Employee Jan 1, 1981
Robert W Gage Individual Corporate DirectorTreasurer Jan 1, 1999 5%
Renee Cardwell Hughes Individual Corporate DirectorBoard Member Jan 1, 2007 5%
Corporate DirectorBoard Member Jan 1, 2007
Sharon M Gallagher Individual Corporate DirectorSecretary Jan 1, 2000 5%
Corporate Director Mar 7, 2006
Corporate Director Oct 16, 2006
Michael Pearson Individual Corporate DirectorVice Chairperson Jan 1, 2008 5%
Corporate OfficerChairperson Jun 1, 2015
Corporate DirectorBoard Member Jan 1, 2008
Corporate Director Jun 1, 2008
George E Downs Individual Corporate DirectorBoard Member Jan 1, 2005 5%
Corporate DirectorBoard Member Jan 1, 2015
Corporate Director Oct 16, 2006
J Douglas Macbride Individual Corporate DirectorBoard Member Jan 1, 1977 5%
Corporate Director Mar 7, 2006
Corporate Director Oct 16, 2006
Melissa Fox Individual Corporate DirectorManaging Director of Health Serv Dec 1, 2011 100%
Curtis Schroder Individual Corporate DirectorBoard Member Jan 1, 2012 5%
Corporate DirectorBoard Member Jan 1, 2012
Richard J Cohen Individual Corporate OfficerCeo Jan 1, 1974 100%
Corporate Director Mar 7, 2006
Corporate Director Oct 16, 2006
Corporate DirectorCeo Jan 1, 1974 100%
James Oram Individual Corporate DirectorBoard Member Jun 1, 2013
Corporate Director Jan 1, 2024
Frank Killian Individual W-2 Managing Employee Feb 6, 1997
Contracted Managing Employee Oct 16, 2006
Operational/Managerial ControlDirector of Finance and Reg Jan 1, 2015
Wendell E Pritchett Individual Corporate DirectorBoard Member Jun 1, 2015
Corporate DirectorDirector Jan 1, 2024
Dinetta Armstrong Individual W-2 Managing Employee Sep 25, 2015
W-2 Managing Employee Sep 28, 2015
Andrew Carter Individual Corporate DirectorBoard Member Dec 1, 2014
Brenda Noel Individual Corporate DirectorDeputy Manager Director Jan 1, 2024

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
PHMC Health Center on Cedar AvenuePhiladelphia, PA, CCN 731950 Federally qualified health center 5% Or Greater Direct Ownership Interest Jun 1, 2021

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 112

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1881779866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "address_2": "LM-500 WEST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-985-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "address_2": "LM-500 WEST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-985-2514",
            "fax_number": "267-765-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIR. OF FINANCE AND REG. AFFAIRS",
        "authorized_official_telephone_number": "215-985-2514"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health Management Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.