Organization
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Active
Other names
Fairmount Primary Care Health Center at Horizon House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA ROBLES COOKE (PRESIDENT & CEO)
(215) 684-5344
Entity
Organization
Contact information
Practice address
5901 MARKET ST, PHILADELPHIA, PA 19139-3117
(215) 222-2466
(215) 222-2462
Mailing address
1412-22 FAIRMOUNT AVE, 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
—
100772996-0025
—
PA
05
—
1007729960032
—
PA
01
—
391012
MEDICARE
PA
Enumeration date
08/11/2010
Last updated
03/05/2026
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