Organization
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Active
Other names
Fairmount Primary Care Center at Girard Medical 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
820 W. THOMPSON STREET, PHILADELPHIA, PA 19122-4212
(215) 827-8010
(215) 232-1037
Mailing address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2908
(215) 684-5344
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007729960028
—
PA
Enumeration date
10/05/2016
Last updated
02/10/2026
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