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GPHA SOUTHEAST HEALTH CENTER
NPI 1417902362
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA

Active since May 22, 2006
800 WASHINGTON AVE, PHILADELPHIA, PA 19147(215) 339-5100(215) 454-6814 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gpha Southeast Health Center NPPES

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

GPHA SOUTHEAST HEALTH CENTER (NPI 1417902362) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since May 2006. The organization lists D Tina Smith, Provider Enrollment Spec, as its authorized official.

NPPES Registry Identity

NPI1417902362
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGREATER PHILADELPHIA HEALTH ACTION INC.
Location Address800 WASHINGTON AVEPhiladelphia, PA 19147-4717
Mailing Address1401 S 31st St, 2nd FloorPhiladelphia, PA 19146-3506 · (215) 925-2400 · Fax (215) 925-9162
Phone(215) 339-5100
Fax(215) 454-6814
Organization SubpartNo
Authorized OfficialD Tina SmithProvider Enrollment Spec · (215) 925-2400
Enumeration DateMay 22, 2006
Last NPPES UpdateMarch 16, 2017
✔ NPI 1417902362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedMidwifeTaxonomy 176B00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
800 WASHINGTON AVE, Philadelphia, PA 19147
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Other Names 1

Doing Business AsGpha Southeast Health Center

Other Identifiers 2

Medicare ID-Type Unspecified391801PA
Medicaid1001374480051PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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) 39D2116989

Gpha Southeast Health Center · Philadelphia, PA
Expired · Aug 7, 2026
CLIA Number39D2116989
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorDr. Adam R. Rom
Laboratory Phone(215) 339-5100
Laboratory LocationGpha Southeast Health Center800 Washington Avenue, Philadelphia, PA 19147
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 14

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

WENDY ZHAO
Dentist (General Practice)
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Philadelphia County (215) 925-2400
ZARRIN SHOURAIE MD
Pediatrics
800 WASHINGTON AVE
PHILA, PA 19147
Philadelphia County (215) 339-5100
MADELINE HOLT RD
Dietitian, Registered
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Philadelphia County (888) 296-4742
EMILY ANDERSON CRNP
Nurse Practitioner (Family)
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-5100
MS. AALIYAH CORRINE KEARINS RDH
Dental Hygienist
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Philadelphia County (888) 269-4742
AMANDA GATTINELLA CRNP
Nurse Practitioner (Family)
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-5100
OLIVIA PETRASEK PA-C
Physician Assistant (Medical)
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Philadelphia County (215) 339-5100
FARRAH SILVA RDH
Dental Hygienist
800 WASHINGTON AVE
PHILADELPHIA, PA 19147
Philadelphia County (888) 296-4742

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 Greater Philadelphia Health Action Inc.'s NPI number?

The NPI number for Greater Philadelphia Health Action Inc. is 1417902362. It was assigned to this organization in the NPPES registry on May 22, 2006. The provider is doing business as Gpha Southeast Health Center.

Where is Greater Philadelphia Health Action Inc. located?

Greater Philadelphia Health Action Inc. is located at 800 Washington Ave, Philadelphia, PA 19147. The listed phone number is (215) 339-5100.

What is Greater Philadelphia Health Action Inc.'s specialty?

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

What insurance does Greater Philadelphia Health Action Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list Greater Philadelphia Health Action Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greater Philadelphia Health Action Inc. was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.