Community Health Clinic, Inc.

LBN: Community Health Clinic, Inc.
Community Health Clinic, Inc. is an health care organization with primary practice located at 943 Fourth Avenue , New Kensington PA 15068-6409. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Community Health Clinic, Inc. can be contacted via phone (724) 335-3334, or through Jayakrishnan, Raji via phone (724) 335-3334.

Contact Information

Primary practice address
943 Fourth Avenue New Kensington PA 15068-6409
Phone: (724) 335-3334
Fax: (724) 335-2283
Website:
Map and Directions
Authorized official contact:
Name: Jayakrishnan, Raji
Phone: (724) 335-3334

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS019493L Pennsylvania
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X MD440474 Pennsylvania
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X MD035908L Pennsylvania

Profile Details

NPI number 1699701136
LBN Legal business name Community Health Clinic, Inc.
DBA Doing business as
Authorized official Jayakrishnan, Raji
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Jun 2nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699701136 NPPES
Pennsylvania Other 1546540 GATEWAY HEALTH PLAN
Pennsylvania Other 3976949 GATEWAY HEALTH PLAN
Pennsylvania Other 001696755 GATEWAY HEALTH PLAN
Pennsylvania MEDICAID 1012676430003 GATEWAY HEALTH PLAN

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