Organization
PROSPECT CCMC, LLC
Active
Parent organization
PROSPECT CCMC, LLC
Other names
Crozer Chester Medical Center Geropsychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROSPECT CCMC, LLC
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3995
(610) 447-2000
Mailing address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-6261
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
04/30/2024
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