Prospect CCMC, LLC

Clinic/Center · Aston, PA

Organization Active NPI

NPI number 1043674351

Practice location

100 Crozerville Rd
Aston, PA 19014-1444
Phone
(610) 447-2000
Fax
(610) 447-6620

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NPI record

NPI
1043674351
Entity type
Organization (Type 2)
Enumeration date
April 12, 2016
Last updated
January 11, 2021
Certified
January 11, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinic/Center Primary 261Q00000X — —

Authorized official

Name
Robert Jon Elders
Title
Secretary
Phone
(714) 788-1249

Other names

  • New Pathways

About Prospect CCMC, LLC

Prospect CCMC, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 100 Crozerville Rd, Aston, PA 19014-1444. The NPI number 1043674351 was assigned on April 12, 2016 and the record was last updated on January 11, 2021.

The authorized official for this organization is Robert Jon Elders, Secretary.

Frequently asked questions

What is the NPI number of Prospect CCMC, LLC?

The NPI number is 1043674351.

What is the phone number of Prospect CCMC, LLC?

The phone number listed for the practice location is (610) 447-2000.

Where is Prospect CCMC, LLC located?

100 Crozerville Rd, Aston, PA 19014-1444.

What is the taxonomy code for Prospect CCMC, LLC?

The primary taxonomy code is 261Q00000X – Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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