Spectrum Health Services, Inc.
Clinic/Center (Federally Qualified Health Center (FQHC))

Address: 1415 South University Ave, Philadelphia, PA 19104
Phone: 2672335874

Spectrum Health Services, Inc. (NPI# 1346853041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1346853041
Entity Type Organization
Organization Name SPECTRUM HEALTH SERVICES, INC.
Practice Address 1415 South University Ave
Philadelphia
PA 19104
Practice Telephone 2672335874
Mailing Address 5201 Haverford Ave
Philadelphia
PA 19139-1401
Mailing Telephone 2677695536
Authorized Official Name David Demilio (CFO)
Authorized Official Telephone 2677695536
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name SPECTRUM HEALTH SERVICES, INC.
Enumeration Date 2020-08-24
Last Update Date 2020-08-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QF0400X Clinic/Center · Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities

Providers with the same name

NPI Name Taxonomy Address Enumeration
1689045437 Spectrum Health Services, Inc. Clinic/Center 1325 S 33rd St, 3rd Floor, Philadelphia, PA 19146-3303 2015-10-19
1265866107 Spectrum Health Services, Inc. Clinic/Center 5201 Haverford Ave, Philadelphia, PA 19139-1401 2013-08-28

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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1679133268 Public Health Management Corporation Clinic/Center 315 S Broad St, Philadelphia, PA 19107-5213 2019-06-17
1821589615 Covenant House, Inc Clinic/Center 2385 W Cheltenham Ave., Philadelphia, PA 19150 2018-05-29
1225536568 Delaware Valley Community Health, Inc. Clinic/Center 400 W Allegheny Ave Bldg 5b, Philadelphia, PA 19133-3639 2018-01-31
1073037826 Greater Philadelphia Health Action Inc. Clinic/Center 5630 Vine Street, Philadelphia, PA 19139-4703 2017-08-02
1225552177 Greater Philadelphia Health Action Inc. Clinic/Center 3301 Tasker Street, Philadelphia, PA 19145-9996 2017-08-02
1235653080 Greater Philadelphia Health Action Inc. Clinic/Center 3200 Dickinson Street, Philadelphia, PA 19146-9733 2017-08-02
Find all providers in PHILADELPHIA

Office Location

Street Address 1415 SOUTH UNIVERSITY AVE
City PHILADELPHIA
State PA
Zip Code 19104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740886399 Sarah Mcmanness Nurse Practitioner 52 N 39th St, Philadelphia, PA 19104 2020-12-09
1295338473 Scott Halperin Pharmacist 3925 Walnut Street, Cvs, Philadelphia, PA 19104 2020-11-19
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.