BROAD ST. MINISTRY
NPI 1679133268
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA

Active since June 17, 2019
315 S BROAD ST, PHILADELPHIA, PA 19107(215) 735-4847 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2020, Dec 18, 2019, Jun 17, 2019 (3 updates tracked since 2019).

About Broad St. Ministry NPPES

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

BROAD ST. MINISTRY (NPI 1679133268) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since June 2019. The organization lists Dinetta Armstrong, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1679133268
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePUBLIC HEALTH MANAGEMENT CORPORATION
Location Address315 S BROAD STPhiladelphia, PA 19107-5213
Mailing Address1500 Market St., Lm 500 West TowerPhiladelphia, PA 19102 · (215) 985-2500 · Fax (267) 765-2325
Organization SubpartNo
Authorized OfficialDinetta ArmstrongManaging Director · (215) 985-2553
Enumeration DateJune 17, 2019
Last NPPES UpdateJanuary 7, 20203 updates tracked since enumeration
✔ NPI 1679133268 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
315 S BROAD ST, Philadelphia, PA 19107

Other Names 1

Other NameBroad St. Ministry

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broad St. Ministry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

98

Medicare enrollment records show 98 clinicians reassign Medicare billing to Broad St. Ministry, which bills Medicare for the services they deliver. Of these, 74 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner53
Family Practice12
Clinical Social Worker7
Mental Health Counselor6
Dentist5
Certified Nurse Midwife (CNM)2
Clinical Psychologist2
Internal Medicine2
7 other specialties9

Nearest to this location (20)

See all 98
Nurse Practitioner
NPI 1518320621
205 N BROAD ST STE 300
Philadelphia, PA 19107
(215) 569-1111
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1972005643
123 S BROAD ST STE 1641
Philadelphia, PA 19109
(215) 543-7116
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1225465925
1500 MARKET ST LM-500 WEST TOWER
Philadelphia, PA 19102
(215) 985-2595
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1932398153
1700 MARKET ST STE 1005
Philadelphia, PA 19103
(267) 420-0612
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1417281163
125 S 9TH ST
Philadelphia, PA 19107
(215) 592-4500
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1730593062
125 S 9TH ST
Philadelphia, PA 19107
(215) 592-4500
✔ PECOS0.7 mi
Mental Health Counselor
NPI 1821527748
125 S 9TH ST
Philadelphia, PA 19107
(215) 985-2500
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1467512343
125 S 9TH ST
Philadelphia, PA 19107
(215) 592-4500
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1568084093
125 S 9TH ST
Philadelphia, PA 19107
(215) 592-4500
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1730555814
125 S 9TH ST
Philadelphia, PA 19107
(215) 592-4500
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1154461671
125 S 9TH ST
Philadelphia, PA 19107
(215) 592-4500
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1639792088
125 S 9TH ST
Philadelphia, PA 19107
(215) 592-4500
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1871973313
1427 VINE ST
Philadelphia, PA 19102
(215) 762-2530
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1912299389
1200 CALLOWHILL ST SUITE 101
Philadelphia, PA 19123
(215) 825-8220
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1629600325
1200 CALLOWHILL ST
Philadelphia, PA 19123
(215) 825-8220
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1932836194
1200 CALLOWHILL ST STE 101
Philadelphia, PA 19123
(215) 825-8220
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1659814275
1200 CALLOWHILL ST
Philadelphia, PA 19123
(215) 825-8220
✔ PECOS✔ Accepts Medicare0.9 mi
Dentist
NPI 1225687320
1200 CALLOWHILL ST
Philadelphia, PA 19123
(215) 309-6223
✔ PECOS0.9 mi
Family Practice
NPI 1336164839
1200 CALLOWHILL ST SUITE 101
Philadelphia, PA 19123
(215) 825-8220
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1407551294
1200 CALLOWHILL ST STE 101
Philadelphia, PA 19123
(609) 468-6253
✔ PECOS0.9 mi
See all 98 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Public Health Management Corporation's NPI number?

The NPI number for Public Health Management Corporation is 1679133268. It was assigned to this organization in the NPPES registry on June 17, 2019. The provider is also known as Broad St. Ministry.

Where is Public Health Management Corporation located?

Public Health Management Corporation is located at 315 S Broad St, Philadelphia, PA 19107. The listed phone number is (215) 735-4847.

What is Public Health Management Corporation's specialty?

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

Is Public Health Management Corporation enrolled in Medicare?

Yes. Public Health Management Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Public Health Management Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 98 clinicians in 15 Medicare specialties reassign their Medicare billing to Public Health Management Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (53), Family Practice (12) and Clinical Social Worker (7). Of these, 74 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Public Health Management Corporation was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.