Healthcare Provider Details

I. General information

NPI: 1720032659
Provider Name (Legal Business Name): GREATER PHILADELPHIA HEALTH ACTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 SNYDER AVE
PHILA PA
19145-3101
US

IV. Provider business mailing address

432 N 6TH ST
PHILA PA
19123-4004
US

V. Phone/Fax

Practice location:
  • Phone: 215-755-7700
  • Fax:
Mailing address:
  • Phone: 215-925-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: RONALD HEIGLER
Title or Position: CEO
Credential:
Phone: 215-925-2400