Organization Name: | COMMUNITY HEALTH CARE, INC. |
NPI Number: | 1063715332 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GILBERT WALTER (CEO) |
Mailing Address: | 1200 N High St Millville |
State: | NJ US |
Postal Code: | 083322540 |
Phone Number: | 8564514700 |
Fax Number: | 8564518685 |
NPI Enumeration Date: | 12/08/2010 |
NPI Last Update Date: | 12/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 23304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |