Organization
COMMUNITY HEALTH CLINIC, INC.
Active
Parent organization
COMMUNITY HEALTH CLINIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CLINIC, INC.
Authorized official
MRS. RAJI DANDAPANI (EXECUTIVE DIRECTOR)
(724) 335-3334
Entity
Organization
Contact information
Practice address
947 FOURTH AVENUE, NEW KENSINGTON, PA 15068
(724) 335-2862
(724) 335-2283
Mailing address
943 FOURTH AVE, NEW KENSINGTON, PA 15068-6409
(724) 335-3334
(724) 335-2283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019493L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012676430004
—
PA
Enumeration date
08/28/2012
Last updated
08/28/2012
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