COMMUNITY MEDICAL CENTER (NPI# 1689015489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689015489 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTER |
| Other Organization Name | GREEN RIDGE PHYSICAL THERAPY CENTER |
| Practice Address |
1360 Wyoming Ave Ste 101 Scranton PA 18509-2803 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5705589270 |
| Mailing Telephone | 5702716211 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | CINDY MULL (DIRECTOR CREDENTIALING AND ENROLLME) |
| Authorized Official Telephone | 5702716603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GREEN RIDGE PHYSICAL THERAPY CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750411211 | Community Medical Center | Case Management | 607 Sw Higgins Ave, Missoula, MT 59803-1468 | 2007-03-06 |
| 1568544591 | Community Medical Center | Pharmacy | 10278 Old #6 Highway, Vance, SC 29163 | 2006-10-19 |
| 1194734913 | Community Medical Center | Pediatrics | 92 W Ratliff Street, Lucedale, MS 39452-6537 | 2006-08-08 |
| 1679544118 | Community Medical Center | Nurse Anesthetist, Certified Registered | 1822 Mulberry Street, Scranton, PA 18501-0934 | 2006-02-01 |
| 1366444507 | Community Medical Center | General Acute Care Hospital | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-06-01 |
| 1003209818 | Community Medical Center | General Practice | 920 S Main St, Blackstone, VA 23824-2600 | 2015-03-18 |
| 1285032128 | Community Medical Center | Internal Medicine | 475 Morgan Hwy, Scranton, PA 18508-2605 | 2014-12-09 |
| 1326446253 | Community Medical Center | Internal Medicine | 141 Salem Ave, Carbondale, PA 18407-2574 | 2014-12-09 |
| 1841547338 | Community Medical Center | Clinic/Center | 1000 Meade St, Suite 204, Dunmore, PA 18512-3195 | 2012-08-14 |
| 1154594687 | Community Medical Center | Pediatrics | 1822 Mulberry St, Scranton, PA 18510-2369 | 2008-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL CENTER | 11226 S Wilcrest Dr, Houston, TX 77099-4313 |
| Iowa Business Entities | COMMUNITY MEDICAL CENTER | 1603 Morgan St, Keokuk, IA 52632 |
| Virginia Business Entities | Community Medical Center Inc. | 306 A Custis Street, Crewe, Virginia 23930 |
| Indiana Business Entities | COMMUNITY MEDICAL CENTER INDIANAPOLIS, LTD. | Cambridge Capital Corporation, Par Place On Turtle Creek, Dallas, TX 75219 |
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL CENTER LAB | 3307 Barada St, Falls City, NE 68355-1546 |
| Iowa Business Entities | COMMUNITY MEDICAL CENTER OF PISGAH, IOWA, INC. | 1010 Skyline Dr, Logan, IA 51546 |
| Colorado Business Entities | COMMUNITY MEDICAL CENTER PHARMACY, INC. | 1000 W South Boulder Rd, Lafayette, CO 80026 |
| North Carolina Corporations | Community Medical Center, Inc. | 7257 Lansdowne Place, Thomasville, NC 27360 |
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL CENTERS, INC. | 7210 Murray Dr, Stockton, CA 95210-3339 |
| Street Address |
1360 WYOMING AVE STE 101 |
| City | SCRANTON |
| State | PA |
| Zip Code | 18509-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811009640 | Michael W Rosiecki | Ophthalmology | 1360 Wyoming Ave, Scranton, PA 18509 | 2006-08-31 |
| 1396927133 | The Optical House | Durable Medical Equipment & Medical Supplies | 1360 Wyoming Ave, Scranton, PA 18509-2803 | 2007-12-04 |
| 1548301989 | Bernard Vanisky | Technician/Technologist | 1360 Wyoming Ave, Scranton, PA 18509-2803 | 2007-02-09 |
| 1386740124 | John J W Lee Md PC | Ophthalmology | 1360 Wyoming Ave, Scranton, PA 18509 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345279 | Michael Joseph Aronica | Physical Medicine & Rehabilitation | 1609 Jefferson Ave, Dunmore, PA 18509 | 2019-03-14 |
| 1467942888 | Mikayla Dynel Attwood | Specialist/Technologist | 2300 Adam's Ave, Scranton, PA 18509 | 2018-05-10 |
| 1497294417 | Brandt Chiropractic and Wellness, Pllc | Chiropractor | 1400 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2017-02-23 |
| 1285088096 | Sara Talarico | Specialist/Technologist | 501 Vine Street, Scranton, PA 18509 | 2016-04-18 |
| 1700256906 | Thadeus Brandt | Chiropractor | 1439 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2015-09-30 |
| 1164762209 | Andrew Joseph Voinski | Dentist | 2326 Boulevard Ave, Scranton, PA 18509 | 2013-02-27 |
| 1386991727 | Paul James Mcdonough Jr. | Counselor | 118 Monahan Avenue, Dunmore, PA 18509 | 2012-08-03 |
| 1639403611 | Primary Care Medical Associates, P.C. | Internal Medicine | 1416 Monroe Avenue, Suite 201, Dunmore, PA 18509 | 2009-09-24 |
| 1316131360 | Marywood University | Emergency Medicine | 2300 Adams Avenue, Oneill Center for Healthy Families, Scranton, PA 18509 | 2007-09-04 |
| 1831214535 | Kurt Paul Moran | Internal Medicine | 10 Greenridge Street, Suite#2, Scranton, PA 18509 | 2007-03-20 |
| Find all providers in zip 18509 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265833321 | Geisinger Clinic | Clinic/Center | 423 Scranton-carbondale Hwy, Scranton, PA 18508 | 2014-09-09 |
| 1255403382 | Sprint Center Inc | Clinic/Center | 327 N Washington Ave, Suite 703, Scranton, PA 18503 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827835 | Move More LLC | Clinic/Center | 630 Meadow Ln, Harleysville, PA 19438-1639 | 2020-09-26 |
| 1649898073 | Trinity Rehab Somerset Pa | Clinic/Center | 2826 S Eagle Rd # No1-21, Newtown, PA 18940-1543 | 2020-07-13 |
| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1811516339 | Alyssa Haveson | Clinic/Center | 23 Sentinel Rd, Washington Crossing, PA 18977-1142 | 2020-04-14 |
| 1104455377 | Dizzy Brain and Balance Specialists LLC | Clinic/Center | 484 Maple Point Dr, Langhorne, PA 19047-1473 | 2020-04-08 |
| 1891326427 | Joshua David Finley | Clinic/Center | 918 Truepenny Rd, Media, PA 19063-1634 | 2020-02-02 |
| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
| 1538799796 | Sirona Therapy P.C. | Clinic/Center | 220 W Plum St Ste 335, Edinboro, PA 16412-2167 | 2020-01-16 |
| 1326683095 | Drayer Physical Therapy Institute LLC | Clinic/Center | 702 Creekside Ln, Lititz, PA 17543-6826 | 2019-11-16 |
| 1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
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| 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.