DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DELAWARE VALLEY COMMUNITY HEALTH, INC.

MEDICARE: DELAWARE VALLEY COMMUNITY HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386864502
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELAWARE VALLEY COMMUNITY HEALTH, INC.
Provider Business Mailing Address
First Line : 1412 FAIRMOUNT AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-2908
Country : US
Telephone Number : 215-684-5344
Fax Number : 215-232-4093
Provider Business Practice Location Address
First Line : 1412 FAIRMOUNT AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-2908
Country : US
Telephone Number : 215-684-5344
Fax Number : 215-232-4093
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MS. BRENDA ROBLES COOKE
Credential :
Telephone Number : 215-684-5344
Provider Enumeration Date : 04/27/2007
Last Update Date : 02/05/2026

Similar Medicare Providers

1285699686 — DELAWARE VALLEY COMMUNITY HEALTH, INC.
Practice Location Address:
1412-22 FAIRMOUNT AVENUE
PHILADELPHIA, PA
19130-2908
Practice Phone: 215-235-9600
Practice Fax: 215-232-4093
1083616882 — DR. ALVAN SCOTT MCNEAL DO
Practice Location Address:
1412 FAIRMOUNT AVE
PHILADELPHIA, PA
19130-2908
Practice Phone: 215-235-9600
Practice Fax: 215-232-4093
1457340564 — DR. MOEMEN H ELMASRY D.D.S
Practice Location Address:
1412 FAIRMOUNT AVE
PHILADELPHIA, PA
19130-2908
Practice Phone: 215-684-5349
Practice Fax: 215-684-5375
1144203480 — MS. RUBY J. CAMARENA MD
Practice Location Address:
1412 FAIRMOUNT AVENUE , FAIRMOUNT PRIMARY CARE CENTER
PHILADELPHIA, PA
19130-2908
Practice Phone: 215-235-9600
Practice Fax: 215-232-4093
1235112566 — DR. GRETA J. STEWART D.O.
Practice Location Address:
1412 FAIRMOUNT AVE
PHILADELPHIA, PA
19130-2908
Practice Phone: 215-235-9600
Practice Fax: 215-232-4093
1598748568 — DR. SANDY HARMON DDS
Practice Location Address:
1412 FAIRMOUNT AVE
PHILADELPHIA, PA
19130-2908
Practice Phone: 215-235-9600
Practice Fax: 215-232-4093

Directions to “DELAWARE VALLEY COMMUNITY HEALTH, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.