Healthcare Provider Details

I. General information

NPI: 1689873911
Provider Name (Legal Business Name): DELAWARE VALLEY COMMUNITY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 E HUNTING PARK AVE FL 2
PHILADELPHIA PA
19124-4800
US

IV. Provider business mailing address

1412 FAIRMOUNT AVE
PHILADELPHIA PA
19130-2908
US

V. Phone/Fax

Practice location:
  • Phone: 215-537-7695
  • Fax: 215-537-7001
Mailing address:
  • Phone: 215-235-9600
  • Fax: 215-232-4093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: DR. ALVAN SCOTT MCNEAL
Title or Position: PRESIDENT & CEO
Credential: DO
Phone: 215-684-5344