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
MS. BRENDA A BOWMAN (OFFICE MANAGER)
(724) 335-3334
Entity
Organization
Contact information
Practice address
179 COLUMBIA AVENUE, VANDERGRIFT, PA 15690-2106
(724) 335-3334
(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
261Q00000X
Clinic/Center
Primary
MD035908L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012676430006
—
PA
Enumeration date
06/03/2016
Last updated
06/03/2016
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