Organization
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Active
Other names
Fairmount Primary Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA ROBLES COOKE (PRESIDENT & CEO)
(215) 684-5344
Entity
Organization
Contact information
Practice address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
(215) 232-4093
Mailing address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
(215) 684-5360
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007729960006
—
PA
Enumeration date
04/19/2006
Last updated
02/06/2026
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