Organization
PROSPECT CCMC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
190 W SPROUL RD, SPRINGFIELD, PA 19064-2027
(610) 328-8700
(610) 447-6620
Mailing address
190 W SPROUL RD, SPRINGFIELD, PA 19064-2027
(610) 328-8700
(610) 447-6620
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
01/15/2021
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