| Organization Name: | MIDDLETOWN COMMUNITY HEALTH CENTER INC |
| NPI Number: | 1972643492 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THERESA MALONEY (CEO) |
| Mailing Address: | 99 Cameron Street Pine Bush |
| State: | NY US |
| Postal Code: | 12566 |
| Phone Number: | 8457442067 |
| Fax Number: | 8453435390 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 03/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |