PROSPECT CCMC, LLC – NPI #1366806663
Clinic/Center

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).

Health Care Provider Taxonomy Code for Clinic/Center

PROSPECT CCMC, LLC is an AHC clinic located in CHESTER, PA. NPPES has assigned the NPI number 1366806663 to PROSPECT CCMC, LLC on April 12, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PROSPECT CCMC, LLC is also known by the name COMMUNITY SCHOOL #83. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 5 years ago on Jan 15, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROSPECT CCMC, LLC below.

NPI Profile for
PROSPECT CCMC, LLC

NPI Number
1366806663
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROSPECT CCMC, LLC
Other Name: COMMUNITY SCHOOL #83
Primary location
245 BETHEL RD
CHESTER, PA 19014
Phone: (610) 619-8700 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT ELDERS
SECRETARY
Phone: (714) 788-1249
Updated
Certification Date
Jan 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.