SPECTRUM HEALTH SERVICES, INC.
NPI 1265866107
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA
NPI Status: Active since August 28, 2013
Contact Information
5201 HAVERFORD AVE
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 472-6095
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
About SPECTRUM HEALTH SERVICES, INC.
This page provides the complete NPI Profile along with additional information for Spectrum Health Services, Inc., a primary care provider established in Philadelphia, Pennsylvania operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1265866107 assigned on August 2013. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated February 2025. The authorized official of this NPI record is Veronica Hill-milblbourne (President/ceo)
- NPI
- 1265866107
- Provider Name
- SPECTRUM HEALTH SERVICES, INC.
- Entity Type
- Organization
- Location Address
- 5201 HAVERFORD AVE PHILADELPHIA, PA 19139
- Location Phone
- (215) 472-6095
- Mailing Address
- 5201 HAVERFORD AVE PHILADELPHIA, PA 19139
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-28-2013
- Last Update Date
- 02-20-2025
- Code Navigator
A primary care provider (PCP) like Spectrum Health Services, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
1007288260005 | MEDICAID (05) | PA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 6 | 5 | 8 | 6 | 6 | 1 | 0 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 12 | 5 | 16 | 6 | 12 | 1 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 2 + 5 + 1 + 6 + 6 + 1 + 2 + 1 + 0 + 24 = 53 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 53 = 7 | 7 |
The NPI number 1265866107 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1174685689 | AQIYLA MUHAMMAD MD Individual | Family Medicine | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 472-6096 |
1285896381 | MRS. THERESA M MCGROARTY MS RD LDN CDE Individual | Dietitian, Registered | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2763 |
1578858353 | MS. AKILAH BATES M.D. Individual | Internal Medicine | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1487059069 | MS. CAITLIN ELIZABETH VANDERWINDT CRNP Individual | Nurse Practitioner (Pediatrics) | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-1041 |
1568867471 | REBEKAH NUSSBAUM CRNP Individual | Nurse Practitioner (Women's Health) | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1295123974 | COLLEEN FORREST RDN, LDN Individual | Dietitian, Registered | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1902169824 | FRANK W JOHNSON CSW Individual | Social Worker | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1801058417 | COURTNEY LEE MD Individual | Family Medicine | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1659845501 | NAEEMAH A ALI Individual | Nurse Practitioner (Women's Health) | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1396300331 | SARAH PINTO CRNP Individual | Nurse Practitioner (Women's Health) | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1437178977 | DR. GARY DAVIS MD Individual | Family Medicine | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1114588019 | SAMIYRA SEYMONE VAUGHN-IBRAHIM DDS Individual | Dentist | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 472-6097 |
1013322304 | ARIEL POSTONE M.D. Individual | Family Medicine | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1720691439 | MRS. TYE SPADY BLAIR RDH, PHDHP Individual | Dental Hygienist | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1083290860 | KASSANDRA PETIT NP Individual | Nurse Practitioner (Women's Health) | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1124590179 | MFON-ABASI CONNELL-GENTLE RDH, PHDHP Individual | Dental Hygienist | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1699477109 | BIANCHA JACKSON MHSC, RD Individual | Dietitian, Registered | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1851155410 | DONNA NGUYEN RDH, PHDHP Individual | Dental Hygienist | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1437613395 | NAEEMAH SELBY NP Individual | Family Medicine | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 471-2761 |
1982246682 | DR. MYRA LYNN RUTLAND DNP Individual | Nurse Practitioner (Family) | 5201 HAVERFORD AVE PHILADELPHIA, PA 19139 (215) 472-6097 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265866107, enumerated in the NPI registry as an "organization" on August 28, 2013
The provider is located at 5201 Haverford Ave Philadelphia, Pa 19139 and the phone number is (215) 472-6095
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 28, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.