Organization
PROSPECT CCMC, LLC
Active
Other names
Drug & Alcohol Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
301 W 15TH ST, CHESTER, PA 19013
(610) 619-8600
Mailing address
301 W 15TH ST, CHESTER, PA 19013-5300
(610) 619-8600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
01/15/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up