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NPI Code Detail

MEDICARE: COMMUNITY HEALTH CARE, INC.

MEDICARE: COMMUNITY HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician24768NJ
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1730527805
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 14 N PEARL ST
Second Line :
City : BRIDGETON
State : NJ
Zip : 08302-1902
Country : US
Telephone Number : 856-451-4700
Fax Number :
Provider Business Practice Location Address
First Line : 3700 NEW JERSEY AVE
Second Line :
City : WILDWOOD
State : NJ
Zip : 08260-6154
Country : US
Telephone Number : 856-451-4700
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : JAMES C EDWARDS
Credential :
Telephone Number : 856-451-4700
Provider Enumeration Date : 06/11/2013
Last Update Date : 03/23/2022

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Directions to “COMMUNITY HEALTH CARE, INC. ” Practice Location

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