Organization
PROSPECT CCMC, LLC
Active
Other names
crisis
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-2000
(610) 447-6620
Mailing address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-2000
(610) 447-6620
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
01/15/2021
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