North Side Christian Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

NORTH SIDE CHRISTIAN HEALTH CENTER

Practice address

525 Mount Pleasant Rd
Pittsburgh, PA 15214-2427

Phone

(412) 321-7500

Fax

(412) 322-8682

NPI assigned

Oct 8, 2008

Reactivated

Dec 22, 2021

Organization subpart

No

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

Authorized official

Name

Winter Epps

Title

Director of Finance

Phone

(412) 321-4001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Federally qualified health center certification: CCN 391987

Legal name

NORTH SIDE CHRISTIAN HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 15, 2009

Last certification

Apr 15, 2009

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 29, 1993 in PA

Enrollment address

525 Mount Pleasant Rd
Pittsburgh, PA 15214-2427

Other NPIs on the same Medicare enrollment 1

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

• North Side Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1609091578

  O20090311000079

  Same enrollment

All disclosed owners & managing parties 7

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

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1952552986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MOUNT PLEASANT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152142427",
            "telephone_number": "412-321-7500",
            "fax_number": "412-322-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MOUNT PLEASANT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152142427",
            "telephone_number": "412-321-7500",
            "fax_number": "412-322-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SIDE CHRISTIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "deactivation_date": "2021-11-04",
        "reactivation_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "WINTER",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "412-321-4001"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Ambulatory Surgical
• North Shore Counseling Services
• North Shore Endoscopy Center, LLC
• North Side Christian Health Center
• North Side Christian Health Center
• North Star Therapy PLLC
• Angela North, DO
• Northbridge Psychiatric Care, PLLC
• Northern Area Multi-Service Center of Allegheny County
• Northern Home Care

• Federally Qualified Health Center (FQHC) in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Federally Qualified Health Center (FQHC) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.