Organization
COMMUNITY MEDICAL CARE, INC
Active
Organization
COMMUNITY MEDICAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NILSSON (PRESIDENT AND CEO)
(570) 969-8240
Entity
Organization
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 558-3500
Mailing address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 558-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007543700015
—
PA
Enumeration date
05/22/2006
Last updated
08/08/2008
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