| Community Health Clinic, Inc. | |
|
947 Fourth Avenue New Kensington PA 15068 | |
| (724) 335-2862 | |
| (724) 335-2283 |
| Full Name | Community Health Clinic, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 947 Fourth Avenue, New Kensington, Pennsylvania |
| Authorized Official Name and Position | Raji Dandapani (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7243353334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Clinic, Inc. 943 Fourth Ave New Kensington PA 15068-6409 Ph: (724) 335-3334 | Community Health Clinic, Inc. 947 Fourth Avenue New Kensington PA 15068 Ph: (724) 335-2862 |
| NPI Number | 1710235551 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710235551 | NPI | - | NPPES |
| 1012676430004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS019493L (Pennsylvania) | Primary |
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