COMMUNITY HEALTH CARE INC. NPI 1568572568

NPI Information

NPI: 1568572568
Provider Name: COMMUNITY HEALTH CARE, INC.

Doing Business As: COMPLETECARE HEALTH NETWORK

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
785 W SHERMAN AVE
VINELAND, NJ
ZIP 08360
Phone: (856) 451-4700
Get Directions

COMMUNITY HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Vineland, NJ. COMMUNITY HEALTH CARE, INC. NPI is 1568572568. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Completecare Health Network.

The provider's business location address is:

785 W SHERMAN AVE
VINELAND, NJ
ZIP 08360-913
Phone: (856) 451-4700
Fax: (856) 575-0818

The provider's authorized official is James C Edwards .
The authorized official title is Ceo President and has the following contact phone number (856) 451-4700.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	1223G0001X	Dentist	General Practice	No
3	152W00000X	Optometrist		No
4	164W00000X	Licensed Practical Nurse		No
5	176B00000X	Midwife		No
6	207Q00000X	Family Medicine		No
7	207R00000X	Internal Medicine		No
8	207RI0200X	Internal Medicine	Infectious Disease	No
9	207V00000X	Obstetrics & Gynecology		No
10	208000000X	Pediatrics		No
11	213E00000X	Podiatrist		No
12	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0044806	MEDICAID	NEW JERSEY
2	0044814	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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