Fairmount Primary Care Center
LBN: Delaware Valley Community Health, Inc.
Fairmount Primary Care Center is an health care organization with primary practice located at 1412-22 Fairmount Avenue , Philadelphia PA 19130-2908. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Delaware Valley Community Health, Inc. can be contacted via phone (215) 235-9600, or through Mcneal, Alvan Scott via phone (215) 684-5344.
Contact Information
Primary practice address
1412-22 Fairmount Avenue
Philadelphia PA 19130-2908
Phone: (215) 235-9600
Fax: (215) 232-4093
Website:
Authorized official contact:
Name: Mcneal, Alvan Scott Doctor of Osteopathy (DO)
Phone: (215) 684-5344
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1285699686 |
|---|---|
| LBN Legal business name | Delaware Valley Community Health, Inc. |
| DBA Doing business as | Fairmount Primary Care Center |
| Authorized official | Mcneal, Alvan Scott Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Sep 8th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285699686 | NPPES |
| Pennsylvania | MEDICAID | 1007729960006 |
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