Prospect Ccmc, LLC
Clinic/Center in Chester, PA. Organization (NPI-2).
NPI number1376990366
StatusActive
Last updated in NPPESJan 15, 2021
Details
- NPI
- 1376990366
- Entity type
- Organization (NPI-2)
- Legal business name
- Prospect Ccmc, LLC
- Organization subpart
- No
- Enumeration date
- May 19, 2016
- Certification date
- Jan 15, 2021
- Last updated
- Jan 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Drug & Alcohol Outpatient (Other Name)
Practice location
301 W 15th StChester, PA 19013
Phone 610-619-8600
Mailing address
301 W 15th StChester, PA 19013-5300
Phone 610-619-8600
Other practice locations
310 W 15th St
Chester, PA 19013-5316
Chester, PA 19013-5316
Phone 610-447-2040 · Fax 610-447-6620
Authorized official
Robert Jon Elders
Secretary
7147881249
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinic/Center providers in Chester, PA
- Aids Care GroupNPI 1477592400
- Crozer Chester Medical CenterNPI 1043565237
- Crozer Chester Medical CenterNPI 1144576091
- Crozer Chester Medical CenterNPI 1598010787
- Crozer-Chester Medical CenterNPI 1033255310
- Crozer-Chester Medical CenterNPI 1154536985
- Crozer-Chester Medical CenterNPI 1164568960
- Crozer-Chester Medical CenterNPI 1306074398
- Crozer-Chester Medical CenterNPI 1568508851
- Everest Pace Center INCNPI 1306469309
All 20 Clinic/Center providers in Chester · All 1,379 providers in Chester
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.