CORPORATE HEALTH NPI

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EVANGELICAL ALUMNI INC.

Corporate Health

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Contact Information

EVANGELICAL ALUMNI FOUNDATION CORPORATION

1315 WALNUT ST

PHILADELPHIA, PA 19107-4719

Phone: 267-588-4549

Fax:

Website:

Specialty

Taxonomy Code

Specialty Code

Provider Type

Corporate Health

261QC1800X

Indicates primary specialty

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NPI Profile & details for EVANGELICAL ALUMNI FOUNDATION CORPORATION

NPI #

1508325531

LBN

Legal business name

EVANGELICAL ALUMNI FOUNDATION CORPORATION

Authorized official

SOLOMON MESGENA - (TRUSTEE)

Entity

Organization

Organization subpart 1

Enumeration date

03/19/2019

Last updated

03/19/2019 -

About 4 months ago

Identifiers

n/a

Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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1508325531 NPI Number Info

Status: Active (Since 03/19/2019)

EVANGELICAL ALUMNI FOUNDATION CORPORATION

NPI Number

1508325531

Similar Providers

Entity Type

Organization

Organization Name

EVANGELICAL ALUMNI FOUNDATION CORPORATION

Provider Mailing Address

First Line

1315 WALNUT ST

Second Line

City

PHILADELPHIA

State

Postal Code

19107-4719

Country

Phone

267-588-4549

Fax

Provider Practice Location

First Line

1315 WALNUT ST

Second Line

City

PHILADELPHIA

State

Postal Code

19107-4719

Country

Phone

267-588-4549

Fax

Authorized OfficialTitle or Position

TRUSTEE

Name

SOLOMON MESGENA

Credential

PHD

Telephone Number

267-588-4549

Provider Enumeration Date

03/19/2019

Last Updated

03/19/2019

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Detailed Information

NPI Number 1508325531 has the "Organization" type of ownership and has been registered to the following primary business legal name (which is a provider name or healthcare organization name) — EVANGELICAL ALUMNI FOUNDATION CORPORATION. The enumeration date of this NPI Number is 03/19/2019. NPI Number information was last updated on 03/19/2019.

The provider is physically located (Business Practice Location) at:

1315 WALNUT ST

PHILADELPHIA, PA

19107-4719, US

EVANGELICAL ALUMNI FOUNDATION CORPORATION can be reached at his practice location using the following numbers:

Phone:

267-588-4549

Fax:

The provider's official mailing address is:

1315 WALNUT ST

PHILADELPHIA, PA

19107-4719, US

The contact numbers associated with the mailing address are:

Phone:

267-588-4549

Fax:

The authorized official registered with the 1508325531 NPI Number is SOLOMON MESGENA.

The authorized official title (position) is TRUSTEE.

You can reach the authorized official at the following phone number 267-588-4549.

Scope of Practice

The following information about the specialty of the provider is available:

#Taxonomy CodeTaxonomy SpecialtyLicense NumberLicense State

261QC1800X

Corporate Health

Legacy (Non-NPI) Identifiers

For crosswalk purposes, the following (non-NPI) identifiers are available for this provider:

#Provider IdentifierIdentifier TypeIdentifier StateIssuer

Legacy & Proprietary Identifiers Ever Reported To NPPES

Collection of legacy and proprietary (non NPI) identifiers ever reported for this provider:

#Provider IdentifierIdentifier TypeIdentifier StateIssuer

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field NameValue

NPI

1508325531

10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.

Entity Type

Organization

Code describing the type of health care provider that is being assigned an NPI. Codes are:

1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Organization Subpart

The "Is the organization a subpart?" question must be answered. If the organization is a subpart, the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. The legal entity must obtain an NPI. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI.

Provider Organization Name (Legal Business Name)

EVANGELICAL ALUMNI FOUNDATION CORPORATION

Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.

Provider First Line Business Mailing Address

1315 WALNUT ST

The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.

Provider Business Mailing Address City Name

PHILADELPHIA

The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.

Provider Business Mailing Address State Name

The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.

Provider Business Mailing Address Postal Code

19107-4719

The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.

Provider Business Mailing Address Country Code

The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.

Provider Business Mailing Address Telephone Number

267-588-4549

The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.

Provider First Line Business Practice Location Address

1315 WALNUT ST

The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Business Practice Location Address City Name

PHILADELPHIA

The city name in the location address of the provider being identified.

Provider Business Practice Location Address State Name

The State or Province name in the location address of the provider being identified.

Provider Business Practice Location Address Postal Code

19107-4719

The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.

Provider Business Practice Location Address Country Code

The country code in the location address of the provider being identified.

Provider Business Practice Location Address Telephone Number

267-588-4549

The telephone number associated with the location address of the provider being identified.

Provider Enumeration Date

03/19/2019

The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date

03/19/2019

The date that a record was last updated or changed.

Authorized Official Last Name

MESGENA

The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.

Authorized Official First Name

SOLOMON

The first name of the authorized official

Authorized Official Title or Position

TRUSTEE

The title or position of the authorized official

Authorized Official Name Prefix Text

DR.

Authorized Official Name Prefix Text

Authorized Official Credential Text

PHD

Authorized Official Credential Text

Authorized Official Telephone Number

267-588-4549

The 10-position telephone number of the authorized official.

Healthcare Provider Taxonomy Code #1

261QC1800X

The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.

Healthcare Provider Taxonomy 1

Corporate Health

Healthcare Provider Taxonomy #1

Healthcare Provider Primary Taxonomy Switch 1

Primary Taxonomy:

X - The primary taxonomy switch is Not Answered;
Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
N - The taxonomy is not the primary taxonomy.

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261QC1800X Taxonomy Code ( Corporate Health )

261QC1800X : Corporate Health : Ambulatory Health Care Facilities

A taxonomy code is a code that describes the Provider or Organization’s type, classification, and the area of specialization.

The taxonomy code set consists of two parts: Individuals & Groups of Individuals and Non-Individuals.

Additionally :

You can get information about “261QC1800X” HPTC code in TXT | PDF | XML | JSON formats.

Similar Healthcare Provider Taxonomy Codes may be found here : SIMILAR TAXONOMIES .

“Corporate Health” Professionals Availability Ratio by State is here : STATS .

Corporate Health

Level III Area of Specialization

A more specialized area of the Classification in which a provider chooses to practice or make services available. For example, the Area of Specialization for provider type Allopathic & Osteopathic Physicians is based upon the Subspecialty Certificates as issued by the appropriate national boards.

Description

Definition to come.

Additional Information

Detailed Information

Field Name

Field Value

Field Description

Taxonomy Code

261QC1800X

Taxonomy code in WPC notation

Status

Active

Status of the code - can be active or inactive

Short Name

Corporate Health

Short name for the specialty (taxonomy)

Level

Level III Area of Specialization

All taxonomy codes are organized in the hierarty from Level I, which is the higher level down to lower levels with bigger roman number

Full Name

Corporate Health

Full taxonomy title

Description

Definition to come...

Description of taxonomy, which may specify the proper use of the code

Level I, Provider Grouping

Ambulatory Health Care Facilities

A major grouping of service(s) or occupation(s) of health care providers.

Level II, Classification

Clinic/Center

The Research Report:

E.A.C.H.E

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