PROSPECT CCMC, LLC (NPI# 1619331022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619331022 |
| Entity Type | Organization |
| Organization Name | PROSPECT CCMC, LLC |
| Practice Address |
190 W Sproul Rd Springfield PA 19064-2027 |
| Practice Telephone | 6103288700 |
| Practice Fax Number | 6104476620 |
| Mailing Telephone | 6103288700 |
| Mailing Fax Number | 6104476620 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043674351 | Prospect Ccmc, LLC | Clinic/Center | 100 Crozerville Rd, Aston, PA 19014-1444 | 2016-04-12 |
| 1578927885 | Prospect Ccmc, LLC | Clinic/Center | 201 Bridgewater Rd, Chester, PA 19015-2113 | 2016-04-12 |
| 1740644053 | Prospect Ccmc, LLC | Clinic/Center | 710 S Middletown Rd, Media, PA 19063-5024 | 2016-04-12 |
| 1669084364 | Prospect Ccmc, LLC | Case Management | 301 W 15th St, Chester, PA 19013-5300 | 2020-08-24 |
| 1750943445 | Prospect Ccmc, LLC | Clinic/Center | 800 Macdade Blvd, Collingdale, PA 19023-3826 | 2019-07-02 |
| 1477113249 | Prospect Ccmc, LLC | Clinic/Center | 800 Macdade Blvd, Collingdale, PA 19023-3826 | 2019-06-14 |
| 1427595982 | Prospect Ccmc, LLC | Clinic/Center | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2017-01-23 |
| 1942745211 | Prospect Ccmc, LLC | Clinic/Center | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-12-22 |
| 1659728640 | Prospect Ccmc, LLC | Clinic/Center | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-19 |
| 1376990366 | Prospect Ccmc, LLC | Clinic/Center | 301 W 15th St, Chester, PA 19013 | 2016-05-19 |
| Street Address |
190 W SPROUL RD |
| City | SPRINGFIELD |
| State | PA |
| Zip Code | 19064-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083601025 | Craig L Muetterties | Anesthesiology | 190 W Sproul Rd, Springfield, PA 19064-2027 | 2005-10-04 |
| 1871948414 | Prospect Health Access Network, Inc. | Internal Medicine | 190 W Sproul Rd, Suite 102, Springfield, PA 19064-2027 | 2016-05-02 |
| 1962826255 | Mary Jane Mcdevitt | Nurse Practitioner | 190 W Sproul Rd, Suite 102, Springfield, PA 19064-2027 | 2014-02-07 |
| 1164769543 | Moore Psychological Services, LLC | Psychologist | 190 W Sproul Rd, Suite 101, Springfield, PA 19064-2027 | 2013-01-06 |
| 1518216084 | Cristin Michelle Garfield | Speech-Language Pathologist | 190 W Sproul Rd, Springfield, PA 19064-2027 | 2012-08-30 |
| 1073770012 | Crozer-keystone Health System | General Acute Care Hospital | 190 W Sproul Rd, Springfield, PA 19064-2027 | 2008-05-19 |
| 1144496308 | Kimberly A Ziedonis | Nurse Anesthetist, Certified Registered | 190 W Sproul Rd, Springfield, PA 19064-2027 | 2008-05-07 |
| 1396945176 | Donald Harrison Bucher | Hospitalist | 190 W Sproul Rd, Springfield, PA 19064-2027 | 2007-07-20 |
| 1386857274 | Karen A Rockwell | Nurse Practitioner | 190 W Sproul Rd, Springfield, PA 19064-2027 | 2007-05-07 |
| 1336194372 | Kathleen Beaver | Internal Medicine | 190 W Sproul Rd, Crozer - Springfield Division, Springfield, PA 19064-2027 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
| 1912369539 | Olga Burt | Physical Therapy Assistant | 146 Rose Lane, Springfield, PA 19064 | 2016-03-23 |
| 1124407309 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1745 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1477932655 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1755 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1003295288 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1765 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1427483742 | Casseys Optical Inc | Durable Medical Equipment & Medical Supplies | 139 S State Road, Springfield, PA 19064 | 2013-09-05 |
| 1184982225 | Ultimate Hearing Solutions II, LLC | Audiologist-Hearing Aid Fitter | 471 Baltimore Pike, Springfield, PA 19064 | 2012-04-26 |
| 1295091684 | Theresa Nolan | Registered Nurse | 194 West Sprould Road, Suite 105, Springfield, PA 19064 | 2012-04-10 |
| 1649551367 | Pa Center for Hearing and Balance, LLC | Hearing Aid Equipment | 760 W Sproul Road, Suite 103, Springfield, PA 19064 | 2011-09-08 |
| 1376864694 | Cynthia Lacapra | Family Medicine | 965 Baltimore Pike Ste B2, Springfield, PA 19064 | 2010-06-22 |
| Find all providers in zip 19064 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1558740761 | Zarghoona Razi | General Acute Care Hospital | 6119 Greeley Blvd, Springfield, VA 22152-1831 | 2015-05-20 |
| 1821345729 | St, Mary's Hospital | General Acute Care Hospital | 409 N 13th St, Springfield, IL 62702-8422 | 2012-08-09 |
| 1215213756 | Northwest Association of Surgical Assistants, Inc. | General Acute Care Hospital | 3782 Po Box, Springfield, OR 97475 | 2011-10-28 |
| 1356629752 | University of Tennessee Health Science Center | General Acute Care Hospital | 4737 Lahr Rd, Springfield, TN 37172-7125 | 2011-08-02 |
| 1972675148 | Bharati S. Jhaveri | General Acute Care Hospital | 1312 Woods Farm Ln, Springfield, IL 62704-6545 | 2006-11-14 |
| 1316904014 | Mercy Health System Western Ohio | General Acute Care Hospital | 1 S Limestone St, Suite 700, Springfield, OH 45502-1293 | 2006-04-27 |
| 1184606923 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter, Springfield, IL 62769-0001 | 2005-11-17 |
| 1063961936 | Memorial Physician Services | General Acute Care Hospital | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2016-10-03 |
| 1942666136 | The Mercy Hospital, Inc | General Acute Care Hospital | 175 Carew Street, Springfield, MA 01104-9012 | 2016-01-05 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 19064 |
Please comment or provide details below to improve the information on PROSPECT CCMC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.