Public record

CMS Federally Qualified Health Center Enrollments

Npi: 1558996421 · 4 matching records

Enrollment id
O20211001002569
Enrollment state
PA
Provider type code
00-04
Provider type text
PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Npi
1558996421
Multiple npi flag
N
Ccn
731923
Associate id
4284065327
Organization name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Doing business as name
VHP- CHILDREN'S CLINIC AT SHERIDAN
Incorporation date
2020-04-22
Incorporation state
PA
Organization type structure
CORPORATION
Proprietary nonprofit
N
Address line 1
521 N 2ND ST
City
ALLENTOWN
State
PA
Zip code
181022501
Telephone number
6109694300
Enrollment id
O20211112001171
Enrollment state
PA
Provider type code
00-04
Provider type text
PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Npi
1558996421
Multiple npi flag
N
Ccn
731943
Associate id
4284065327
Organization name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Doing business as name
VHP- CHILDREN'S CLINIC
Incorporation date
2020-04-22
Incorporation state
PA
Organization type structure
CORPORATION
Proprietary nonprofit
N
Address line 1
1627 CHEW ST
Address line 2
FL 6
City
ALLENTOWN
State
PA
Zip code
181023648
Telephone number
6109694300
Enrollment id
O20221123001877
Enrollment state
PA
Provider type code
00-04
Provider type text
PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Npi
1558996421
Multiple npi flag
N
Ccn
731035
Associate id
4284065327
Organization name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Doing business as name
CHILDREN'S CLINIC AT HAYS
Incorporation date
2020-04-22
Incorporation state
PA
Organization type structure
CORPORATION
Proprietary nonprofit
N
Address line 1
1227 W GORDON ST
City
ALLENTOWN
State
PA
Zip code
181023648
Telephone number
6109694300
Enrollment id
O20241126001849
Enrollment state
PA
Provider type code
00-04
Provider type text
PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Npi
1558996421
Multiple npi flag
N
Ccn
D31020
Associate id
4284065327
Organization name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Doing business as name
VHP CHILDREN'S CLINIC AT 6TH ST
Incorporation date
2020-04-22
Incorporation state
PA
Organization type structure
CORPORATION
Proprietary nonprofit
N
Address line 1
101 N 6TH ST
Address line 2
STE 330
City
ALLENTOWN
State
PA
Zip code
181011403
Telephone number
6109694300

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