ST. CHRIS CARE AT FALLS CENTER
Complete NPI Record 1487816708
Pediatrics in Philadelphia, PA
Active since June 27, 2008
Complete NPI Dataset
This page contains the complete raw NPPES record for St. Chris Care At Falls Center (NPI 1487816708), a pediatrics organization in Philadelphia, PA. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
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Registry File Document Utilities
- NPI: 1487816708 Field 1/31
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/31
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/31
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: ST.CHRIS CARE AT NORTHEAST PEDIATRICS, LLC Field 4/31
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: ST. CHRIS CARE AT FALLS CENTER Field 5/31
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/31
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: ONE FALLS CENTER, 3300 HENRY AVENUE Field 7/31
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Second Line Business Mailing Address: 4TH FLOOR Field 8/31
- The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
- Provider Business Mailing Address City Name: PHILADELPHIA Field 9/31
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: PA Field 10/31
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 19129 Field 11/31
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 12/31
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider First Line Business Practice Location Address: ONE FALLS CENTER, 3300 HENRY AVENUE Field 13/31
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: 4TH FLOOR Field 14/31
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: PHILADELPHIA Field 15/31
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: PA Field 16/31
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 19129 Field 17/31
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/31
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 2155092500 Field 19/31
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: JAMES Field 22/31
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: WESLEY Field 23/31
- The first name of the authorized official.
- Authorized Official Middle Name: O. Field 24/31
- The middle name of the authorized official.
- Authorized Official Title or Position: REGIONAL CFO, TENET Field 25/31
- The title or position of the authorized official.
- Authorized Official Telephone Number: 4042655009 Field 26/31
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 208000000X Field 27/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 28/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 29/31
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Name Prefix Text: MR. Field 30/31
- The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
- Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP Field 31/31
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
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