1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Clinic Center
  6. NPI Profile

FAIRMOUNT PRIMARY CARE CENTER AT ST. JOSEPH'S HOSPITAL
NPI 1073819967
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA

Active since February 10, 2011CLIA Certified · 2 labs
1600 W GIRARD AVE, SUITE 201, PHILADELPHIA, PA 19130(215) 827-8010(215) 765-2191 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairmount Primary Care Center At St. Joseph's Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRMOUNT PRIMARY CARE CENTER AT ST. JOSEPH'S HOSPITAL (NPI 1073819967) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since February 2011. The organization holds 2 active CLIA laboratory certificates and lists Patricia Deitch, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1073819967
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDELAWARE VALLEY COMMUNITY HEALTH, INC.
Location Address1600 W GIRARD AVE, SUITE 201Philadelphia, PA 19130-1615
Mailing Address1412 Fairmount AvePhiladelphia, PA 19130-2908 · (215) 599-4851 · Fax (215) 232-4093
Phone(215) 827-8010
Fax(215) 765-2191
Organization SubpartYes
Authorized OfficialPatricia DeitchPresident & Chief Executive Officer · (215) 235-9600
Enumeration DateFebruary 10, 2011
Last NPPES UpdateJune 7, 2011
✔ NPI 1073819967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1600 W GIRARD AVE, Philadelphia, PA 19130
Open in Google Maps ↗

Other Names 1

Doing Business AsFairmount Primary Care Center At St. Joseph's Hospital

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0200609

Fairmount Primary Care Center · Philadelphia, PA
Active · expires Apr 7, 2027
CLIA Number39D0200609
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorDr. Greta J. Stewart
Laboratory Phone(215) 599-4851
Laboratory LocationFairmount Primary Care Center1412-22 Fairmount Avenue, Philadelphia, PA 19130
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D2121951

Fairmount Primary Care Center At Girard Med Ctr · Philadelphia, PA
Active · expires Jan 29, 2028
CLIA Number39D2121951
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorDr. Daniel Dejoseph
Laboratory Phone(215) 599-4851
Laboratory LocationFairmount Primary Care Center At Girard Med Ctr820 W Thompson Street, Philadelphia, PA 19122
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE MORESCHI MD
Internal Medicine (Pulmonary Disease)
1600 W GIRARD AVE
PHILA, PA 19130
Philadelphia County (215) 787-9000
NEIL J BERGER DO
Radiology (Diagnostic Radiology)
1600 W GIRARD AVE
PHILADELPHIA, PA 19130
Philadelphia County (215) 787-9000
MANI MEDICAL SERVICES LLC
Internal Medicine (Gastroenterology)
1600 W GIRARD AVE, 2ND FLOOR
PHILADELPHIA, PA 19130
Philadelphia County (215) 787-9503
ELENA KARZOVA MD
Psychiatry & Neurology (Psychiatry)
1600 W GIRARD AVE
PHILADELPHIA, PA 19130
Philadelphia County (215) 787-9000
IVA ALYXANDER HACKER-DELANY M.D.
Emergency Medicine
1600 W GIRARD AVE
PHILADELPHIA, PA 19130
Philadelphia County (215) 762-3808
MAO HSIUNG CHEN MD
Anesthesiology
1600 W GIRARD AVE
PHILADELPHIA, PA 19130
Philadelphia County (215) 787-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delaware Valley Community Health, Inc.'s NPI number?

The NPI number for Delaware Valley Community Health, Inc. is 1073819967. It was assigned to this organization in the NPPES registry on February 10, 2011. The provider is doing business as Fairmount Primary Care Center At St. Joseph's Hospital.

Where is Delaware Valley Community Health, Inc. located?

Delaware Valley Community Health, Inc. is located at 1600 W Girard Ave Suite 201, Philadelphia, PA 19130. The listed phone number is (215) 827-8010.

What is Delaware Valley Community Health, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Delaware Valley Community Health, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Delaware Valley Community Health, Inc. was last updated on June 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.