Prospect Ccmc, Llc, NPI 1740644053
Clinic/Center in Media, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1740644053
NPI Entity Type Organization
Provider Name Prospect Ccmc, Llc
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 710 S Middletown Rd, Media, PA, US
Provider Mailing Address 710 S Middletown Rd, Media, PA, US, 190635024
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Robert Jon Elders
Official Position SECRETARY
Phone 714-788-1249

Primary Taxonomy

Taxonomy Code

261Q00000X

Taxonomy Name Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other Organization Name

tca school
Other Name

Business Address

Prospect Ccmc, Llc
710 S Middletown Rd

Media, PA, US

Phone: 610-447-2000
Fax: 610-447-6620

Mailing Address

Prospect Ccmc, Llc
710 S Middletown Rd
Media, PA, US
ZIP 190635024
Phone: 610-447-2000
Fax: 610-447-6620

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