| Prospect Ccmc, Llc | |
|
1 Medical Center Blvd Chester PA 19013-3995 | |
| (610) 447-2000 | |
| Not Available |
| Full Name | Prospect Ccmc, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1 Medical Center Blvd, Chester, Pennsylvania |
| Authorized Official Name and Position | Robert Jon Elders (SECRETARY) |
| Authorized Official Contact | 7147881249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Ccmc, Llc 1 Medical Center Blvd Chester PA 19013-3902 Ph: (610) 447-6261 | Prospect Ccmc, Llc 1 Medical Center Blvd Chester PA 19013-3995 Ph: (610) 447-2000 |
| NPI Number | 1881348910 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 04/30/2024 |
| Certification Date | 01/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881348910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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