Children'S Community Care
Pediatrics in Harrisburg, PA. Organization (NPI-2).
NPI number1619624947
StatusActive
Last updated in NPPESSep 13, 2023
Details
- NPI
- 1619624947
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Community Care
- Organization subpart
- No
- Enumeration date
- Mar 7, 2022
- Certification date
- Sep 13, 2023
- Last updated
- Sep 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Other names
- Children'S Community Pediatrics (Doing Business As)
Practice location
1433 N 2nd StHarrisburg, PA 17102-2610
Phone 717-234-4674
Mailing address
103 Bradford Rd Ste 200Wexford, PA 15090-6910
Phone 724-933-1100 · Fax 724-933-1160
Authorized official
Lori Martinez
Executive Administrator III
7249331100
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