COMMUNITY HEALTH AND DENTAL CARE, INC. (NPI# 1760853584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760853584 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH AND DENTAL CARE, INC. |
| Practice Address |
800 Heritage Dr Suite 802 Pottstown PA 19464-9220 |
| Mailing Address |
351 W Schuylkill Rd Ste G-15a Pottstown PA 19465-7438 |
| Practice Telephone | 6103269460 |
| Practice Fax Number | 4232225006 |
| Mailing Telephone | 6103269460 |
| Mailing Fax Number | 6102225006 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | BRIDGETTE MCGIVERN (CEO) |
| Authorized Official Telephone | 6103269460 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710386164 | Community Health and Dental Care, Inc. | Clinic/Center | 700 Heritage Dr, Pottstown, PA 19464-3297 | 2014-08-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH AND DENTAL CARE, INC. | 351 W Schuylkill Rd Ste G15a, Pottstown, PA 19465-7438 |
| Street Address |
800 HERITAGE DR SUITE 802 |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464-9220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344345 | Jeffrey B Sameroff | Dentist | 800 Heritage Dr, Suite 811, Pottstown, PA 19464-9220 | 2005-05-23 |
| 1184164279 | Ashleigh Clair Sobotka | Pediatrics | 800 Heritage Dr, Suite 820, Pottstown, PA 19464-9220 | 2017-03-08 |
| 1780012666 | Krysten Varano | Nurse Practitioner | 800 Heritage Dr, Suite 820, Pottstown, PA 19464-9220 | 2013-10-31 |
| 1851738587 | Sheila Aseto | Pediatrics | 800 Heritage Dr, Suite 820, Pottstown, PA 19464-9220 | 2013-06-04 |
| 1679838213 | Dena Caplan | Nurse Practitioner | 800 Heritage Dr, Pottstown, PA 19464-9220 | 2012-07-10 |
| 1063674232 | Jyoti Patel | Dentist | 800 Heritage Dr, Siute 802, Pottstown, PA 19464-9220 | 2008-06-30 |
| 1104912559 | David Christopher Weigle | Dentist | 800 Heritage Dr, Suite 811, Pottstown, PA 19464-9220 | 2006-10-05 |
| 1346218732 | Harry J. Lawall & Son, Inc. | Prosthetic/Orthotic Supplier | 800 Heritage Dr, Suite 803, Pottstown, PA 19464-9220 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710386164 | Community Health and Dental Care, Inc. | Clinic/Center | 700 Heritage Dr, Pottstown, PA 19464-3297 | 2014-08-21 |
| 1447787585 | Community Health and Dental Care, Inc | Clinic/Center | 351 W Schuylkill Rd, Pottstown, PA 19465-7438 | 2017-05-19 |
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| 1588285076 | Community Health and Dental Care, Inc | Clinic/Center | 1315 Route 100 North, Barto, PA 19504-8724 | 2020-05-06 |
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| 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.