National Provider Identifier Database

COMMUNITY HEALTH CARE RURAL HEALTH CLINIC LLC
Rural Health


Contact Information

COMMUNITY HEALTH CARE RURAL HEALTH CLINIC, LLC
550 W WALNUT ST
SHAMOKIN, PA17872-5226
Phone: 570-644-2222
Fax: 570-648-4705
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CARE RURAL HEALTH CLINIC, LLC

NPI Number 1104284751
Legal business name
LBN
COMMUNITY HEALTH CARE RURAL HEALTH CLINIC, LLC
Authorized official NADINE MARKOVICH-STEN - (MEMBER / ADMINISTRATIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/10/2016
Last updated 02/10/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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