MEDICAL COMPLETE CARE CLINIC (NPI# 1043780661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043780661 |
| Entity Type | Organization |
| Organization Name | MEDICAL COMPLETE CARE CLINIC |
| Practice Address |
910 E 4th St Bethlehem PA 18015-1904 |
| Practice Telephone | 6104198088 |
| Practice Fax Number | 6104198088 |
| Mailing Telephone | 6104198088 |
| Mailing Fax Number | 6104198088 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | DR. JESUS MONTILLA (CEO) |
| Authorized Official Telephone | 6104198088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
910 E 4TH ST |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013445048 | Jesus Montilla | Counselor | 910 E 4th St, Bethlehem, PA 18015-1904 | 2017-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1891207536 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 107 E Star St, Bethlehem, GA 30620-2119 | 2017-11-03 |
| 1578902227 | Professional Therapy Services, LLC | Clinic/Center | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2144 | 2013-06-17 |
| 1508086620 | St. Luke's Hospital | Clinic/Center | 240 Union Station Plz, Bethlehem, PA 18015-1281 | 2007-04-30 |
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| 1164077970 | Jc Blair Medical Services Inc. | Clinic/Center | 1225 Warm Springs Ave Fl 3, Huntingdon, PA 16652-2350 | 2019-08-08 |
| 1902451016 | Jc Blair Medical Services Inc. | Clinic/Center | 820 Bryan St Ste 3, Huntingdon, PA 16652-2409 | 2019-08-06 |
| 1629638481 | Crossover Health Medical Group | Clinic/Center | 1701 John F Kennedy Blvd Fl 25, Philadelphia, PA 19103-2851 | 2019-06-14 |
| 1720641491 | Mtc Wellness, LLC | Clinic/Center | 280 Ripka St, Philadelphia, PA 19127-1125 | 2019-04-18 |
| 1548727621 | Drayer Physical Therapy Institute LLC | Clinic/Center | 165 Glen Dr, Manchester, PA 17345-1336 | 2019-02-26 |
| 1962970830 | Drayer Physical Therapy Institute LLC | Clinic/Center | 6560 Carlisle Pike Ste 425, Mechanicsburg, PA 17050-8246 | 2018-11-08 |
| 1598233520 | Drayer Physical Therapy Institute LLC | Clinic/Center | 1606 N Center Ave Ste 170, Somerset, PA 15501-7052 | 2018-11-07 |
| 1477021921 | Tower Health Urgent Care, LLC | Clinic/Center | 1139 Ben Franklin Pkwy, Douglassville, PA 19518 | 2018-11-02 |
| 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.