Organization Name: | COMMUNITY HEALTH CARE, INC. |
NPI Number: | 1073954988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GILBER WALTER (CEO/PRESIDENT) |
Mailing Address: | 1700 Route 47 Rio Grande |
State: | NJ US |
Postal Code: | 082421406 |
Phone Number: | 8564514700 |
Fax Number: | 8567947183 |
NPI Enumeration Date: | 07/09/2013 |
NPI Last Update Date: | 07/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |