| Prospect Ccmc, Llc | |
|
800 Macdade Blvd Collingdale PA 19023-3826 | |
| (610) 915-3496 | |
| Not Available |
| Full Name | Prospect Ccmc, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 800 Macdade Blvd, Collingdale, 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 800 Macdade Blvd Collingdale PA 19023-3826 Ph: (610) 915-3496 | Prospect Ccmc, Llc 800 Macdade Blvd Collingdale PA 19023-3826 Ph: (610) 915-3496 |
| NPI Number | 1477113249 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 01/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477113249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Crozer-chester Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Macdade Blvd, Collingdale, PA 19023 Phone: 610-447-2000 Fax: 610-447-6620 | |
The Delco Academy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Macdade Blvd, Collingdale, PA 19023 Phone: 310-943-4500 | |
F A Mcgowan & R D Lee Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Clifton Ave, Collingdale, PA 19023 Phone: 610-586-1919 Fax: 610-586-6947 |